Mobile Medical Wellness LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOBILE MEDICAL WELLNESS LLC

Practice address

851 Franklin Lake Rd Ste 33
Franklin Lakes, NJ 07417-2266

Phone

(914) 376-6100

Fax

(914) 470-5056

NPI assigned

Aug 1, 2018

Organization subpart

No

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

Authorized official

Name

Melissa Nieli

Title

Credentialing Manager

Phone

(914) 376-6100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1972081909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 FRANKLIN LAKE RD STE 33",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172266",
            "telephone_number": "914-376-6100",
            "fax_number": "914-470-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 FRANKLIN LAKE RD STE 33",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074172266",
            "telephone_number": "914-376-6100",
            "fax_number": "914-470-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "NIELI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "914-376-6100"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griffin Meyers, PT
• Michael W. Golz, D.C., LLC
• Milestones Pediatrics LLC
• Tiffany Miller, PA-C
• Slavko O Mitringa, RPH
• Stephanie Morgana
• Michael James Morton II, PT,DPT,ATC
• Stacey Debra Moses
• Bruce James Mulder, D.M.D.
• Stephanie L Mulfinger, LCSW

• Internal Medicine Physician in Franklin Lakes, NJ
• Providers in Franklin Lakes, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.