Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nj Mobile Medical, PC

Organization Specialist · NPI 1932639051

Nj Mobile Medical, PC is a Specialist in Lakewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2017.

Licensed in
NJ
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

105 River Ave Ste 103
Lakewood, NJ 08701-4267
Phone: (516) 595-8560
Fax: (516) 666-8370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 25MA10120200 (NJ)

Record details

NPI number1932639051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Gandelman — Sole Owner · (203) 869-5515
NPI enumeratedJune 13, 2017
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address81 Holly Hill Ln Fl 3, Greenwich, CT 06830-2945

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