Healthcare Provider Details

I. General information

NPI: 1245975135
Provider Name (Legal Business Name): MOBILE URGENT CARE MEDICAL SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 COOPER RD STE 1
VOORHEES NJ
08043-3800
US

IV. Provider business mailing address

685 3RD AVE FL 9
NEW YORK NY
10017-4151
US

V. Phone/Fax

Practice location:
  • Phone: 866-349-4230
  • Fax: 877-282-9624
Mailing address:
  • Phone: 844-443-6246
  • Fax: 833-907-2235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT MBONYE
Title or Position: NATIONAL DIRECTOR OF REVENUE CYCLE
Credential:
Phone: 585-278-0502