PA Mobile Medical

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD462752 Issued in PA

Legal business name

PA MOBILE MEDICAL

Practice address

712 S 5TH St
Allentown, PA 18103-3306

Phone

(203) 869-5515

Fax

(203) 869-5765

NPI assigned

Jan 9, 2018

Organization subpart

No

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

Authorized official

Name

Aracely D Rivera

Title

Billing Supervisor

Phone

(203) 869-5515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

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

• Pilar Giffenig, FNP

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1215544945

  PA

  Medicare reassignment NPD
• Glenn Gandelman, MD

  • Cardiovascular Disease Physician
  • Greenwich, CT
  • NPI 1033117437

  PA

  Medicare reassignment

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1265949440",
    "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": "203-869-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 S 5TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181033306",
            "telephone_number": "203-869-5515",
            "fax_number": "203-869-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA MOBILE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ARACELY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "203-869-5515"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD462752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berk Ozoglu
• PA Assn for the Blind - Lehigh County Branch
• PA Assn for the Blind Lehigh County Branch
• PA Foot and Ankle Associates, LLC
• PA Foot and Ankle Associates, LLC
• Pace Foot and Ankle Centers PLLC
• Pace Foot and Ankle Centers PLLC
• Kelsey A Paciotti, OD
• Leslie Cristina Pagan, BA
• Valerie Ann Pagan, LPC

• Specialist in Allentown, PA
• Providers in Allentown, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.