Healthcare Provider Details

I. General information

NPI: 1912816190
Provider Name (Legal Business Name): MOBILE HEALTH ALLIANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 CORPORATE DR STE 525
MAHWAH NJ
07430-2330
US

IV. Provider business mailing address

575 CORPORATE DR STE 525
MAHWAH NJ
07430-2330
US

V. Phone/Fax

Practice location:
  • Phone: 551-223-0444
  • Fax: 201-644-7544
Mailing address:
  • Phone: 551-223-0444
  • Fax: 201-644-7544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: CHARLES RAWLEY
Title or Position: BOARD CHAIR
Credential: PARAMEDIC
Phone: 201-857-7215