Mobile Wound Consultants

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MOBILE WOUND CONSULTANTS

Practice address

1900 S Broad St
Philadelphia, PA 19145-2304

Phone

(856) 845-0500

Fax

(856) 384-8757

NPI assigned

Nov 22, 2006

Last updated

Aug 22, 2020By 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

Theresa Brady, CRNPNPI 1871515684

Title

Partner

Phone

(856) 845-0500

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.

• Theresa B Brady, CRNP

  • Family Nurse Practitioner
  • Woodbury, NJ
  • NPI 1871515684
  Authorized official Same address or phone

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477628485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N BROAD ST",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961718",
            "telephone_number": "856-845-0500",
            "fax_number": "856-384-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452304",
            "telephone_number": "856-845-0500",
            "fax_number": "856-384-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE WOUND CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "856-845-0500",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juley Anne Moberg, M.S. L.P.C.
• Paul J Moberg, PHD
• Mobile Anesthesia Service Concepts, LLC
• Mobile Care Transport
• Mobile Med Techs LLC
• Martina Mobley-Altice
• Safiya Mobley
• Alberta C Mobly, CRNP
• Ben Hur Patricio Mobo Jr., MD
• Mochadrake Solutions LLC

• Surgery Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.