MTB MOBILE PODIATRY
NPI 1346035045
Clinic/Center - Podiatric in Kearny, NJ

Active since April 12, 2025
300 HOYT ST APT 106, KEARNY, NJ 07032(617) 840-2082 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mtb Mobile Podiatry NPPES

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

MTB MOBILE PODIATRY (NPI 1346035045) is a healthcare organization registered as a podiatric in Kearny, New Jersey and active in the NPI registry since April 2025. The organization lists Olufunke Oburaimoh, Physician, as its authorized official.

NPPES Registry Identity

NPI1346035045
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NameMTB MOBILE PODIATRY
Location Address300 HOYT ST APT 106Kearny, NJ 07032-4641
Mailing Address300 Hoyt St, Unit 106Kearny, NJ 07032-4641 · (617) 840-2082
Organization SubpartNo
Authorized OfficialOlufunke OburaimohPhysician · (617) 840-2082
Enumeration DateApril 12, 2025
NPPES CertifiedApril 12, 2025
✔ NPI 1346035045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
300 HOYT ST APT 106, Kearny, NJ 07032

Other Names 1

Doing Business AsMtb Mobile Podiatry

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mtb Mobile Podiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mtb Mobile Podiatry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1336631076
510 HAMBURG TPKE STE 108
Wayne, NJ 07470
(973) 925-4111
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mtb Mobile Podiatry's NPI number?

The NPI number for Mtb Mobile Podiatry is 1346035045. It was assigned to this organization in the NPPES registry on April 12, 2025.

Where is Mtb Mobile Podiatry located?

Mtb Mobile Podiatry is located at 300 Hoyt St Apt 106, Kearny, NJ 07032. The listed phone number is (617) 840-2082.

What is Mtb Mobile Podiatry's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

Is Mtb Mobile Podiatry enrolled in Medicare?

Yes. Mtb Mobile Podiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mtb Mobile Podiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Mtb Mobile Podiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mtb Mobile Podiatry was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.