Organization Active NPI

Mobile Health Care, LLC

  • Community Health Clinic/Center
  • Woodmere, NY
National Provider Identifier
1710144332
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
2950211R Issued in NY
Legal business name
MOBILE HEALTH CARE, LLC
Practice address
791 W Broadway
Woodmere, NY 11598-2543
Phone
(516) 569-8409
Fax
(516) 706-5999
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Eliezer Greenberg
Title
Ceo
Phone
(516) 569-8409

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2950211R NY
Community Health Clinic/Center 261QC1500X 2950211R NY Primary
Developmental Disabilities Clinic/Center 261QD1600X 2950211R NY
Health Service Clinic/Center 261QH0100X 2950211R NY
Multi-Specialty Clinic/Center 261QM1300X 2950211R NY
Podiatric Clinic/Center 261QP1100X 2950211R NY

Addresses

Primary practice location

791 W Broadway
Woodmere, NY 11598-2543

Mailing address

791 W Broadway
Woodmere, NY 11598-2543

Other identifiers 1

IdentifierTypeStateIssuer
02172049MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1710144332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 W BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982543",
            "fax_number": "516-706-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 W BROADWAY",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115982543",
            "telephone_number": "516-569-8409",
            "fax_number": "516-706-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-569-8409",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "2950211R",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NY",
            "license": "2950211R",
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NY",
            "license": "2950211R",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "2950211R",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "2950211R",
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "2950211R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02172049",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.