OrganizationActiveAccepts Medicare
Ny Mobile Medical PC
NPI 1740865773 · Specialist · Leesburg, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1740865773
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Glenn Gandelman, Ceo(203) 869-5515
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
700 N Palmetto St
Leesburg, FL 34748-4419
Phone: (203) 869-5515
Fax: (203) 869-5765
Street-level locationGet directions
Mailing address
65 Broadway Ste 903
New York, NY 10006-2531
Registry dates
- Enumerated
- 2021-03-11
- Last updated
- 2021-03-11
- Certified
- 2021-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.