Provider Demographics
NPI:1144209792
Name:AMERICAN MOBILITY, INC.
Entity Type:Organization
Organization Name:AMERICAN MOBILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:GERVASIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-788-1919
Mailing Address - Street 1:2921 VETERANS HWY
Mailing Address - Street 2:UNIT C
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-1605
Mailing Address - Country:US
Mailing Address - Phone:215-788-1919
Mailing Address - Fax:215-788-3499
Practice Address - Street 1:2921 VETERANS HWY
Practice Address - Street 2:UNIT C
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-1605
Practice Address - Country:US
Practice Address - Phone:215-788-1919
Practice Address - Fax:215-788-3499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7562209Medicaid
PA297294OtherHIGHMARK BLUE CROSS/SHIEL
PA32359OtherAETNA
PA0002966000OtherPERSONAL CHOICE
PA0016949800004Medicaid
PA0859700001Medicare NSC