Individual provider Active NPI

Joseph N. Mobilio, D.O.

  • Psychiatry Physician
  • Haddon Township, NJ
National Provider Identifier
1770611865
Registry record updated Mar 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MB03782300 Issued in NJ
Practice address
216 Haddon Ave
Suite 706
Haddon Township, NJ 08108-2809
Phone
(856) 869-9300
Fax
(856) 869-9011
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MB03782300 NJ Primary

Addresses

Primary practice location

216 Haddon Ave
Suite 706
Haddon Township, NJ 08108-2809

Mailing address

216 Haddon Ave
Suite 706
Haddon Township, NJ 08108-2809
Phone (856) 869-9300

Other identifiers 5

IdentifierTypeStateIssuer
223092985OtherNJBANKERS LIFE
Q62282OtherNJAMERIHEALTH
223092985OtherNJHORIZON CASUALTY
223092985OtherNJHORIZON BLUE CROSS SHIELD
260033560OtherNJRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000282 NJ Practitioner - Psychiatry 1355517459 Practice locations: Westmont, NJ

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Philadelphia College of Osteopathic Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

216 Haddon Ave
Suite 706
Westmont, NJ 08108-2809
Phone (856) 869-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB03782300NJMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551571200000",
    "number": "1770611865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HADDON AVE",
            "address_2": "SUITE 706",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082809",
            "telephone_number": "856-869-9300",
            "fax_number": "856-869-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HADDON AVE",
            "address_2": "SUITE 706",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082809",
            "telephone_number": "856-869-9300",
            "fax_number": "856-869-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOBILIO",
        "first_name": "JOSEPH",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2019-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB03782300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BANKERS LIFE",
            "identifier": "223092985",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "Q62282",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON CASUALTY",
            "identifier": "223092985",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS SHIELD",
            "identifier": "223092985",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260033560",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Township, NJ

Sources for this page

Verify at the official NPI Registry.