Active NPI
Mobility Clinic Inc
- Prosthetic/Orthotic Supplier
- Toms River, NJ
National Provider Identifier
1245947654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MOBILITY CLINIC INC
- Practice address
- 2446 Church Road
Toms River, NJ 08753 - Phone
- (732) 662-5700
- Fax
- (732) 662-5695
- NPI assigned
- Nov 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rakesh Jain
- Title
- Ceo, Cpo, Lpo
- Phone
- (201) 774-1085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
2446 Church Road
Toms River, NJ 08753
Mailing address
60 Lincoln Highway Ste a
Edison, NJ 08820
Phone (201) 774-1085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0417734 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetist
- Yonkers, NY
- NPI 1104250653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1245947654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 LINCOLN HIGHWAY STE A",
"city": "EDISON",
"state": "NJ",
"postal_code": "08820",
"telephone_number": "201-774-1085",
"fax_number": "732-662-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2446 CHURCH ROAD",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08753",
"telephone_number": "732-662-5700",
"fax_number": "732-662-5695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILITY CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-04",
"last_updated": "2023-09-06",
"certification_date": "2022-11-04",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "RAKESH",
"authorized_official_title_or_position": "CEO, CPO, LPO",
"authorized_official_telephone_number": "201-774-1085"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0417734",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.