Provider Demographics
NPI:1386857928
Name:ELECTRIC MOBILITY CORPORATION
Entity Type:Organization
Organization Name:ELECTRIC MOBILITY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AR SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRYN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ERACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-539-3019
Mailing Address - Street 1:591 MANTUA BLVD
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-1016
Mailing Address - Country:US
Mailing Address - Phone:800-345-8331
Mailing Address - Fax:856-539-3061
Practice Address - Street 1:4000 EAGLE POINT CORPORATE DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-1900
Practice Address - Country:US
Practice Address - Phone:800-345-8331
Practice Address - Fax:856-539-3061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ5001899332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0455640005Medicare ID - Type Unspecified