Mobile Medicare
NPI 1457460594 · Geriatric Medicine (Family Medicine) Physician · Clark, NJ
Mobile Medicare is a Geriatric Medicine (Family Medicine) Physician organization in Clark, NJ (NPI 1457460594).
Provider details
- NPI number
- 1457460594
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Colleen Tiedemann, Office Manager(732) 388-7300
- License
- MB53933 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2007-08-06
Frequently asked questions
- What is Mobile Medicare's NPI number?
- Mobile Medicare's National Provider Identifier (NPI) is 1457460594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mobile Medicare?
- Mobile Medicare is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Mobile Medicare located?
- Mobile Medicare's practice location on file with NPPES is 67 Walnut Ave, Clark, NJ 07066-1640.
- What is Mobile Medicare's phone number?
- The practice phone number listed in the NPPES registry for Mobile Medicare is (732) 388-7300.
- Who is the authorized official for Mobile Medicare?
- The authorized official listed on Mobile Medicare's NPPES record is Colleen Tiedemann, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mobile Medicare's NPI active?
- Yes — Mobile Medicare's NPI (1457460594) is active in the NPPES registry as of the last update on 2007-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.