NY MOBILE MEDICAL PC
NPI 1740865773
Specialist in Leesburg, FL
About Ny Mobile Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NY MOBILE MEDICAL PC (NPI 1740865773) is a healthcare organization registered as a specialist in Leesburg, Florida and active in the NPI registry since March 2021. The organization lists Glenn Gandelman, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ny Mobile Medical Pc 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 Ny Mobile Medical PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Ny Mobile Medical PC's NPI number?
The NPI number for Ny Mobile Medical PC is 1740865773. It was assigned to this organization in the NPPES registry on March 11, 2021.
Where is Ny Mobile Medical PC located?
Ny Mobile Medical PC is located at 700 N Palmetto St, Leesburg, FL 34748. The listed phone number is (203) 869-5515.
What is Ny Mobile Medical PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Ny Mobile Medical PC enrolled in Medicare?
Yes. Ny Mobile Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ny Mobile Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Ny Mobile Medical PC. 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 Ny Mobile Medical PC was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ny Mobile Medical Pc · NPI 1740865773
Specialist organization in Leesburg, Florida. Organization record, active in the CMS NPPES registry since March 11, 2021.
## Identity
- **NPI:** 1740865773 (Entity type: Organization)
- **Enumerated:** March 11, 2021
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Glenn Gandelman, CEO
## Practice location
- **Address:** 700 N PALMETTO ST, Leesburg, FL 34748-4419
- **Phone:** (203) 869-5515 · **Fax:** (203) 869-5765
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Cardiovascular Disease (Cardiology)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 11, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1740865773) · Data from the CMS NPPES public registry.