Mobile Physicians LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

25MD0264800NJ Issued in NJ

Legal business name

MOBILE PHYSICIANS LLC

Practice address

7 Colts CT
Jackson, NJ 08527-4492

Phone

(732) 364-6803

Fax

(732) 364-6803

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mark Carl Boyer Jr., DPM

Title

President

Phone

(732) 364-6803

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1174742530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COLTS CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274492",
            "telephone_number": "732-364-6803",
            "fax_number": "732-364-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COLTS CT",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085274492",
            "telephone_number": "732-364-6803",
            "fax_number": "732-364-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-364-6803",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD0264800NJ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8492000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Jackson, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.