Edgardo C Mojares MD PA
Organization Active NPI Surgery Physician · West Long Branch, NJ
NPI 1174538003 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1174538003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- License
- MA28091 (NJ)
- Legal business name
- EDGARDO C MOJARES MD PA
- Practice address
- 175 Monmouth Rd
West Long Branch, NJ 07764-1028 - Phone
- (732) 571-0600
- NPI assigned
- Jul 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Dennis Edgardo C Mojares Sr., MD
- Title
- Owner
- Phone
- (732) 571-0600
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | MA28091 | NJ | |
| Internal Medicine Physician |
207R00000X | MA72134 | NJ | |
| Pediatrics Physician |
208000000X | MA72134 | NJ | |
| Surgery Physician |
208600000X | MA28091 | NJ | Yes |
| General Practice Physician |
208D00000X | MA28091 | NJ |
Addresses
Primary practice location
175 Monmouth Rd
West Long Branch, NJ 07764-1028
Mailing address
175 Monmouth Rd
West Long Branch, NJ 07764-1028
Phone (732) 571-0600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9008802 | Medicaid | NJ | |
| 461011 | Other | ST BARNABAS SYSTEM HEALTH |
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All providers in West Long Branch, NJ · Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.