Active NPI
Mobility Clinic Inc
- Prosthetic/Orthotic Supplier
- Edison, NJ
National Provider Identifier
1497462808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- MOBILITY CLINIC INC
- Practice address
- 60 Lincoln Highway Ste a
Edison, NJ 08820 - Phone
- (732) 662-5700
- Fax
- (732) 662-5699
- NPI assigned
- Nov 4, 2022
- Last updated
- Sep 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rakesh Jain
- Title
- Cfo, Cpo, Lpo
- Phone
- (201) 774-1085
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | NU | Primary |
Addresses
Primary practice location
60 Lincoln Highway Ste a
Edison, NJ 08820
Mailing address
60 Lincoln Highway Ste a.
Edison, NJ 08820
Phone (732) 662-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041774 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Customized Equipment (DME)
- Edison, NJ
- NPI 1952646408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693958400000",
"number": "1497462808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 LINCOLN HIGHWAY STE A.",
"city": "EDISON",
"state": "NJ",
"postal_code": "08820",
"telephone_number": "732-662-5700",
"fax_number": "732-662-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 LINCOLN HIGHWAY STE A",
"city": "EDISON",
"state": "NJ",
"postal_code": "08820",
"telephone_number": "732-662-5700",
"fax_number": "732-662-5699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILITY CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-04",
"last_updated": "2023-09-06",
"certification_date": "2022-11-04",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "RAKESH",
"authorized_official_title_or_position": "CFO, CPO, LPO",
"authorized_official_telephone_number": "201-774-1085"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041774",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.