1. Home
  2. Directory
  3. New Jersey
  4. Fair Lawn
  5. Nurse Practitioner
  6. NPI Profile

MOBILE HEALTH CARE FAMILY CLINIC LLC
NPI 1205662228
Nurse Practitioner - Primary Care in Fair Lawn, NJ

Active since September 09, 2024CLIA 31D2316108 · Waiver
19-21 FAIR LAWN AVE STE 2C, FAIR LAWN, NJ 07410(201) 479-4596(201) 499-7938 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2025, Sep 9, 2024 (2 updates tracked since 2024).

About Mobile Health Care Family Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOBILE HEALTH CARE FAMILY CLINIC LLC (NPI 1205662228) is a healthcare organization registered as a primary care in Fair Lawn, New Jersey and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Fonderre L Musongong, Manager, as its authorized official.

NPPES Registry Identity

NPI1205662228
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameMOBILE HEALTH CARE FAMILY CLINIC LLC
Location Address19-21 FAIR LAWN AVE STE 2CFair Lawn, NJ 07410-2337
Mailing Address10 Walnut WayHighland Mills, NY 10930-2810 · (845) 290-7287
Phone(201) 479-4596
Fax(201) 499-7938
Organization SubpartNo
Authorized OfficialFonderre L MusongongManager · (845) 290-7287
Enumeration DateSeptember 9, 2024
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1205662228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
19-21 FAIR LAWN AVE STE 2C, Fair Lawn, NJ 07410
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2316108

Mobile Health Care Family Clinic LLC · Fair Lawn, NJ
Active · expires Dec 26, 2026
CLIA Number31D2316108
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorChristopher R. Trotz
Laboratory Phone(201) 479-4596
Laboratory LocationMobile Health Care Family Clinic LLC19-21 Fair Lawn Avenue Suite 2C, Fair Lawn, NJ 07410
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

APPLAUSE HOME CARE, LLC
In Home Supportive Care
19-21 FAIR LAWN AVE STE 2C
FAIR LAWN, NJ 07410
Bergen County (201) 326-8051
FONDERRE LIONEL MUSONGONG FNP
Nurse Practitioner (Primary Care)
19-21 FAIR LAWN AVE STE 2C
FAIR LAWN, NJ 07410
Bergen County (201) 479-4596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mobile Health Care Family Clinic LLC's NPI number?

The NPI number for Mobile Health Care Family Clinic LLC is 1205662228. It was assigned to this organization in the NPPES registry on September 9, 2024.

Where is Mobile Health Care Family Clinic LLC located?

Mobile Health Care Family Clinic LLC is located at 19-21 Fair Lawn Ave Ste 2C, Fair Lawn, NJ 07410. The listed phone number is (201) 479-4596.

What is Mobile Health Care Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Mobile Health Care Family Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2316108) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mobile Health Care Family Clinic LLC was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.