Mobility Clinic

LBN: Ideal Healthcare Llc
Mobility Clinic is an health care organization with primary practice located at 60 Lincoln Hwy , Edison NJ 08820-3908. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Ideal Healthcare Llc can be contacted via phone (732) 662-5700, or through Faustino, Dwight Villarisco via phone (201) 745-9644.

Contact Information

Primary practice address
60 Lincoln Hwy Edison NJ 08820-3908
Phone: (732) 662-5700
Fax: (732) 662-5699
Website:
Map and Directions
Authorized official contact:
Name: Faustino, Dwight Villarisco Physical Therapist (PT)
Phone: (201) 745-9644

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1215446489
LBN Legal business name Ideal Healthcare Llc
DBA Doing business as Mobility Clinic
Authorized official Faustino, Dwight Villarisco Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2017
Last updated Jun 3rd, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215446489 NPPES
New Jersey MEDICAID 3218601

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