Provider Demographics
NPI:1912050717
Name:ELECTRIC MOBILITY CORPORATION
Entity type:Organization
Organization Name:ELECTRIC MOBILITY CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:ART
Authorized Official - Middle Name:
Authorized Official - Last Name:REA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:856-468-1000
Mailing Address - Street 1:591 MANTUA BLVD
Mailing Address - Street 2:P.O. BOX 156
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-1016
Mailing Address - Country:US
Mailing Address - Phone:856-468-1000
Mailing Address - Fax:856-415-1796
Practice Address - Street 1:8000 NW 31ST ST
Practice Address - Street 2:SUITE 4
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1061
Practice Address - Country:US
Practice Address - Phone:305-717-9974
Practice Address - Fax:305-717-3455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312980332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0455640006Medicare ID - Type UnspecifiedOH OFC.
NJ0455640003Medicare ID - Type UnspecifiedNJ OFC #2
NJ0455640001Medicare ID - Type UnspecifiedHOME OFFICE