Keith a Mobilia,DPM.PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N0038671 Issued in NY

Legal business name

KEITH A MOBILIA,DPM.PC

Practice address

2338 Richmond Rd
Staten Island, NY 10306-2346

Phone

(718) 979-1333

Fax

(718) 351-3215

NPI assigned

May 11, 2009

Last updated

Jul 23, 2024By 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

Keith A MobiliaNPI 1396718417

Title

Owner

Phone

(718) 979-1333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Keith A Mobilia, DPM

  • Podiatrist
  • Staten Island, NY
  • NPI 1396718417

  O20100930037035

  Same enrollment

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.

• Keith A Mobilia, DPM

  • Podiatrist
  • Staten Island, NY
  • NPI 1396718417
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1386878049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062346",
            "telephone_number": "718-979-1333",
            "fax_number": "718-351-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 RICHMOND RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062346",
            "telephone_number": "718-979-1333",
            "fax_number": "718-351-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A MOBILIA,DPM.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MOBILIA",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-979-1333"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0038671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Praneeth Reddy Keesari, MD
• Wanda Kehoe, BS/ OTR/L
• Maduyen Keita
• Tina Keita, RN
• Keith a Mobilia & Janet Carney DPM PC
• Keith Ryan Jackson MD PC
• Rhonda Kelleher Nigido
• Alexandra E Kelleher, MA, OTR/L
• Rachel Marni Kellner, LMSW
• Jazmine Kelly-Bolton, LMSW

• Podiatrist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.