Provider Demographics
NPI:1679185904
Name:MOBILE MEDICAL HEALTHCARE, P.C.
Entity Type:Organization
Organization Name:MOBILE MEDICAL HEALTHCARE, P.C.
Other - Org Name:DOCGO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MBONYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-278-0502
Mailing Address - Street 1:35 W 35TH ST FL 6
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2205
Mailing Address - Country:US
Mailing Address - Phone:866-349-4230
Mailing Address - Fax:877-282-9624
Practice Address - Street 1:35 W 35TH ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-2249
Practice Address - Country:US
Practice Address - Phone:866-349-4230
Practice Address - Fax:877-282-9624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty