Healthcare Provider Details

I. General information

NPI: 1366956203
Provider Name (Legal Business Name): FT MOBILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2017
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 US HIGHWAY 46
SADDLE BROOK NJ
07663-6253
US

IV. Provider business mailing address

255 US HIGHWAY 46
SADDLE BROOK NJ
07663-6253
US

V. Phone/Fax

Practice location:
  • Phone: 973-546-1900
  • Fax: 973-546-1706
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: NICOLE PODENCE
Title or Position: OWNER
Credential:
Phone: 973-546-1900