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

Nj Mobile Medical, PC

Organization Specialist · NPI 1932639051

Nj Mobile Medical, PC provides Specialist services 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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