Organization Active NPI

Relatyv Mobile Medical LLC

  • Other Specialist/Technologist
  • Jersey City, NJ
National Provider Identifier
1609660976
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
RELATYV MOBILE MEDICAL LLC
Practice address
344 Grove St # 1234
Jersey City, NJ 07302-5923
Phone
(830) 832-9703
Fax
(866) 285-0477
NPI assigned
Apr 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Janice Compton
Title
Contract Manager
Phone
(830) 832-9703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246Z00000X Primary

Addresses

Primary practice location

344 Grove St # 1234
Jersey City, NJ 07302-5923

Mailing address

344 Grove St # 1234
Jersey City, NJ 07302-5923
Phone (830) 832-9703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250701001355 NJ Part B Supplier - Clinic/Group Practice 4082130109 Receives reassigned benefits from 1 practitioner
Practice locations: Bayonne, NJ

National Provider Directory

National Provider Directory
Tax ID family
Relatyv Mobile Medical LLC40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

344 Grove St
#1234
Jersey City, NJ 07302
Phone (505) 870-4949

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1609660976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 GROVE ST # 1234",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025923",
            "telephone_number": "830-832-9703",
            "fax_number": "866-285-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 GROVE ST # 1234",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073025923",
            "telephone_number": "830-832-9703",
            "fax_number": "866-285-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELATYV MOBILE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "830-832-9703"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.