Organization Active NPI

Mobility Clinic Inc

  • Prosthetic/Orthotic Supplier
  • Toms River, NJ
National Provider Identifier
1245947654
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
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

Updated by the provider on Sep 6, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0417734MedicaidNJ

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": "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.

Verify at the official NPI Registry.