Individual provider Active NPI

Susan Wendi Laws-Mobilio, D.O.

  • Family Medicine Physician
  • Cinnaminson, NJ
National Provider Identifier
1275520579
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB37821 Issued in NJ
Practice address
1104 Route 130 N
Suite K
Cinnaminson, NJ 08077-3032
Phone
(856) 786-8010
Fax
(856) 786-0529
NPI assigned
Oct 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB37821 NJ Primary

Addresses

Primary practice location

1104 Route 130 N
Suite K
Cinnaminson, NJ 08077-3032

Mailing address

500 Grove St
Suite 100
Haddon Heights, NJ 08035-1736
Phone (856) 796-9200

Other identifiers 1

IdentifierTypeStateIssuer
5050600MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB37821NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Hill Health Care Associates PA Family Medicine Past Accepting new patients
Lourdes Medical Associates, PA Past Accepting new patients
Camden County Health Services Center Past Accepting new patients
Michael P Weingarten DO PA Family Medicine Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1275520579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROVE ST",
            "address_2": "SUITE 100",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351736",
            "telephone_number": "856-796-9200",
            "fax_number": "856-796-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 ROUTE 130 N",
            "address_2": "SUITE K",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773032",
            "telephone_number": "856-786-8010",
            "fax_number": "856-786-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWS-MOBILIO",
        "first_name": "SUSAN",
        "middle_name": "WENDI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-02",
        "last_updated": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB37821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5050600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.