Ben Hur Patricio Mobo Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD452132 Issued in PA

Practice address

1700 N Broad St
Philadelphia, PA 19121-3429

Phone

(215) 204-2679

Fax

(215) 204-1784

NPI assigned

Sep 21, 2006

Last updated

Mar 13, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1477651453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HUNTING PARK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291302",
            "telephone_number": "215-204-2679",
            "fax_number": "215-204-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191213429",
            "telephone_number": "215-204-2679",
            "fax_number": "215-204-1784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Liacouras Walk",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19122",
            "country_code": "US",
            "telephone_number": "215-204-2679",
            "fax_number": "215-204-1784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOBO",
        "first_name": "BEN HUR",
        "middle_name": "PATRICIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD452132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mobile Med Techs LLC
• Mobile Wound Consultants
• Martina Mobley-Altice
• Safiya Mobley
• Alberta C Mobly, CRNP
• Mochadrake Solutions LLC
• Eugene Mochan, DO
• Alyssa Mocion, DNP, CRNP
• Erin Mock
• James E Mock, MA

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.