Healthcare Provider Details

I. General information

NPI: 1902716749
Provider Name (Legal Business Name): MOBILE PHYSIOCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 STULTS RD STE 125
DAYTON NJ
08810-1646
US

IV. Provider business mailing address

40 MARQUIS CT
EDGEWATER NJ
07020-2900
US

V. Phone/Fax

Practice location:
  • Phone: 917-826-7230
  • Fax: 855-595-2751
Mailing address:
  • Phone: 917-826-7230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VAISHALI PARMAR
Title or Position: OWNER
Credential:
Phone: 917-826-7230