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MOBILE MEDICARE
NPI 1457460594
Family Medicine - Geriatric Medicine in Clark, NJ

Active since August 30, 2006
67 WALNUT AVE, CLARK, NJ 07066(732) 388-7300(732) 388-1330 Get Directions Write a Review

NPPES record last updated: August 6, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mobile Medicare NPPES

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

MOBILE MEDICARE (NPI 1457460594) is a healthcare organization registered as a geriatric medicine in Clark, New Jersey and active in the NPI registry since August 2006. The organization lists Colleen Elizabeth Tiedemann, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1457460594
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameMOBILE MEDICARE
Location Address67 WALNUT AVEClark, NJ 07066-1640
Mailing Address67 Walnut AveClark, NJ 07066-1640 · (732) 388-7300 · Fax (732) 388-1330
Phone(732) 388-7300
Fax(732) 388-1330
Organization SubpartNo
Authorized OfficialColleen Elizabeth TiedemannOffice Manager · (732) 388-7300
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 6, 2007
✔ NPI 1457460594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Licenses✔ Licensed in NJ · MB27483✔ Licensed in NJ · MB53933
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedInternal MedicineTaxonomy 207R00000X · License MB71509 (NJ)
67 WALNUT AVE, Clark, NJ 07066
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Other Identifiers 3

Medicare UPINH51969NJ
Medicare UPINF12985NJ
Medicare UPINE06173NJ

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 19

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

WALEED IJAZ DO
Family Medicine
67 WALNUT AVE
CLARK, NJ 07066
Union County (732) 388-7300
HEARING HEALTH PA LLC
Hearing Instrument Specialist
67 WALNUT AVE, SUITE 303
CLARK, NJ 07066
Union County (732) 882-7900
SUMMIT MEDICAL GROUP PA
Durable Medical Equipment & Medical Supplies
67 WALNUT AVE
CLARK, NJ 07066
Union County (908) 722-1220
THERACARE OF NEW JERSEY LLC
Community/Behavioral Health
67 WALNUT AVE, SUITE 306
CLARK, NJ 07066
Union County (888) 311-2611
MICHAEL ELLIOT BEAMS D.O.
Family Medicine (Sports Medicine)
67 WALNUT AVE
CLARK, NJ 07066
Union County (732) 388-7300
DR. MICHAEL GENEREUX D.O.
Family Medicine
67 WALNUT AVE
CLARK, NJ 07066
Union County (732) 388-7300
KENNETH Y. ENG, M.D., P.A.
Ophthalmology
67 WALNUT AVE, SUITE 302
CLARK, NJ 07066
Union County (732) 882-0700
SPORTS EXTRA PC
Family Medicine (Sports Medicine)
67 WALNUT AVE, SUITE 202
CLARK, NJ 07066
Union County (732) 388-7300

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 Medicare's NPI number?

The NPI number for Mobile Medicare is 1457460594. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Mobile Medicare located?

Mobile Medicare is located at 67 Walnut Ave, Clark, NJ 07066. The listed phone number is (732) 388-7300.

What is Mobile Medicare's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Mobile Medicare was last updated on August 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.