Mobile Medical Services of New Jersey, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

25MA08404500 Issued in NJ

Legal business name

MOBILE MEDICAL SERVICES OF NEW JERSEY, PC

Practice address

201 Route 17
12TH Floor
Rutherford, NJ 07070-2574

Phone

(201) 372-1689

NPI assigned

Apr 21, 2017

Last updated

Apr 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elliot Pellman, M. D.NPI 1235192998

Title

Medical Director

Phone

(516) 622-6000

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elliot J Pellman, MD

  • Sports Medicine (Internal Medicine) Physician
  • Lake Success, NY
  • NPI 1235192998
  NPD (past) Authorized official

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1265967863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421113",
            "telephone_number": "516-622-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ROUTE 17",
            "address_2": "12TH FLOOR",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702574",
            "telephone_number": "201-372-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL SERVICES OF NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "PELLMAN",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-622-6000",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08404500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vittorio Mena Jr., O.D.
• Nicole Mendia, PA-C
• Michael Schwarz MD LLC
• Mindful Comforts LLC
• Mobile Counseling of New Jersey
• Margaret G Modero, OTR
• Robert Montemurno, D.M.D.
• Sehoon Moon, DDS
• Samantha A. Mottola, LAC
• Marwa A Moustafa, DMD

• Anesthesiology Physician in Rutherford, NJ
• Providers in Rutherford, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.