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EDGARDO C MOJARES MD PA NPI 1174538003


NPI Information

NPI: 1174538003
Provider Name: EDGARDO C MOJARES MD PA
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
175 MONMOUTH RD
WEST LONG BRANCH, NJ
ZIP 07764
Phone: (732) 571-0600
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EDGARDO C MOJARES MD PA is an emergency medicine in West Long Branch, NJ. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. EDGARDO C MOJARES MD PA NPI is 1174538003. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

175 MONMOUTH RD
WEST LONG BRANCH, NJ
ZIP 07764-028
Phone: (732) 571-0600

The provider's authorized official is Dennis Edgardo C Mojares .
The authorized official title is Owner and has the following contact phone number (732) 571-0600.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineMA28091NEW JERSEYYes
2207R00000XInternal MedicineMA72134NEW JERSEYX
3208000000XPediatricsMA72134NEW JERSEYX
4208600000XSurgeryMA28091NEW JERSEYX
5208D00000XGeneral PracticeMA28091NEW JERSEYX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19008802MEDICAIDNEW JERSEY
2461011OTHERST BARNABAS SYSTEM HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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