Mobile Medical of Montville, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MBO60952 Issued in NJ

Legal business name

MOBILE MEDICAL OF MONTVILLE, LLC

Practice address

35 Palomino TRL
Vernon, NJ 07462-3143

Phone

(973) 886-9923

Fax

(973) 209-0246

NPI assigned

Jul 31, 2007

Last updated

Jul 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carmine Anthony Mazzella, D.O.NPI 1326108879

Title

Owner

Phone

(973) 886-9923

Specialties & licenses 1

Addresses

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.

• Carmine A Mazzella, D.O.

  • Internal Medicine Physician
  • Verona, NJ
  • NPI 1326108879

  Family Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1881884369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PALOMINO TRL",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623143",
            "telephone_number": "973-886-9923",
            "fax_number": "973-209-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PALOMINO TRL",
            "city": "VERNON",
            "state": "NJ",
            "postal_code": "074623143",
            "telephone_number": "973-886-9923",
            "fax_number": "973-209-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL OF MONTVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "MAZZELLA",
        "authorized_official_first_name": "CARMINE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-886-9923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MBO60952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles W. Markham, LPC
• Alyne Prado Mascarenhas, PTA
• Emily McElroy
• Matthew Meluso, PT, DPT
• Mind Over Matter Services LLC
• Mountain View Family Medicine LLC
• Richard Alfred Munley, DC
• Monica Mushlit, LPN
• Myron's Touch of Empathy
• New Jersey CVS Pharmacy LLC (CVS Pharmacy# 10322)

• Family Medicine Physician in Vernon, NJ
• Providers in Vernon, 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 Jul 31, 2007; 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.