Garden State Mobile Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GARDEN STATE MOBILE MEDICINE

Practice address

67 Apple St
Tinton Falls, NJ 07724-2636

Phone

(732) 314-7410

Fax

(732) 351-2062

NPI assigned

Mar 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Adil Manzoor, DO

Title

Physician

Phone

(732) 314-7410

Specialties & licenses 3

Addresses

Other names 1

• Mobile Medicine NJ Doing business as

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1770178840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 APPLE ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242636",
            "telephone_number": "732-314-7410",
            "fax_number": "732-351-2062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 APPLE ST",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077242636",
            "telephone_number": "732-314-7410",
            "fax_number": "732-351-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN STATE MOBILE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "MANZOOR",
        "authorized_official_first_name": "ADIL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-314-7410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Medicine NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Bernard Fox, M.D.
• Karen G Franco, PT
• Tali Frankfort
• Carly Frascino, LCSW
• Glenn G Gabisan, MD
• Kalyani I Gardilla, MD
• Lauren Gashlin, PSY.D.
• Meredith Gebel, DPT
• General Limousine Leasing
• David R Gentile, MD

• Family Medicine Physician in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.