Active NPI
Jennifer L Mohr, PA
- Surgical Physician Assistant
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 25MP00067800
- Practice address
- 125 Paterson St
Suite 4100
New Brunswick, NJ 08901-1962 - Phone
- (732) 235-7800
- Fax
- (732) 235-7013
- NPI assigned
- Jan 16, 2007
- Last updated
- Jan 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 25MP00067800 | NJ | Primary |
Addresses
Primary practice location
125 Paterson St
Suite 4100
New Brunswick, NJ 08901-1962
Mailing address
66 W Gilbert St
2ND Floor
Tinton Falls, NJ 07701-4947
Phone (732) 212-0051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MP00067800 | Other | NJ | NEW JERSEY LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11234 Anderson St
Loma Linda, CA 92354-2804
22431 Antonio Pkwy
B160 613
Rancho Santa Margarita, CA 92688-2804
Phone (855) 727-2251
901 San Bernardino Rd
Suite 104And302
Upland, CA 91786-4912
Phone (909) 558-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55399 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Loma Linda University Children's Hospital | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients | |
| Healthcare Service Partners, Inc. | Surgical | Past | Accepting new patients |
| Robert Wood Johnson University Hospital, Inc | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Pomona Valley Hospital Medical Center | Past | Accepting new patients |
Locations
81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830
25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828
11234 Anderson St
#7100
Loma Linda, CA 92350
Phone (909) 558-4200
11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2600
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700
28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200
901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779
Interoperability endpoints
- jmohr266474@direct.llu.edu
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Surgical Physician Assistant
- Rancho Santa Margarita, CA
- NPI 1245017185
-
dba Regents of the University of California
- Surgery Physician
- Orange, CA
- NPI 1407806904
-
- Otolaryngology Physician
- Redlands, CA
- NPI 1376795369
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- New Brunswick, NJ
- NPI 1366493041
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- Surgical Physician Assistant
- Rancho Santa Margarita, CA
- NPI 1356889265
-
- Children's Hospital
- Loma Linda, CA
- NPI 1366866345
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1205987104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 W GILBERT ST",
"address_2": "2ND FLOOR",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077014947",
"telephone_number": "732-212-0051",
"fax_number": "732-212-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PATERSON ST",
"address_2": "SUITE 4100",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011962",
"telephone_number": "732-235-7800",
"fax_number": "732-235-7013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHR",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NJ",
"license": "25MP00067800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW JERSEY LICENCE",
"identifier": "MP00067800",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.