Mobile Wellness Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA07696500 Issued in NJ

Legal business name

MOBILE WELLNESS SERVICES LLC

Practice address

711 Kearny Ave
Kearny, NJ 07032-3003

Phone

(888) 214-9212

Fax

(888) 214-9212

NPI assigned

Aug 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ansar Sharif, MD

Title

Ceo

Phone

(888) 214-9212

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104835271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323003",
            "telephone_number": "888-214-9212",
            "fax_number": "888-214-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070323003",
            "telephone_number": "888-214-9212",
            "fax_number": "888-214-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARIF",
        "authorized_official_first_name": "ANSAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-214-9212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA07696500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.