Organization Active NPI

Mobile Care Solutions PC

  • Specialist
  • Worcester, MA
National Provider Identifier
1003459058
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MOBILE CARE SOLUTIONS PC
Practice address
300 Barber Ave
Worcester, MA 01606-2476
Phone
(203) 869-5515
NPI assigned
Oct 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Glenn GandelmanNPI 1033117437
Title
Owner
Phone
(203) 869-5515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

300 Barber Ave
Worcester, MA 01606-2476

Mailing address

67 Holly Hill LN Ste 102
Greenwich, CT 06830-6072
Phone (203) 869-5515

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL email

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1003459058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 HOLLY HILL LN STE 102",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306072",
            "telephone_number": "203-869-5515",
            "fax_number": "203-869-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BARBER AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062476",
            "telephone_number": "203-869-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE CARE SOLUTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "GANDELMAN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-869-5515"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "300 Barber Ave",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016062476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.