Individual provider Active NPI

Gregg Edward Mojares, D.O.

  • Emergency Medicine Physician
  • Neptune, NJ
National Provider Identifier
1760418966
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MB07932700 Issued in NJ
Practice address
1945 Corlies Ave
Neptune, NJ 07753-4859
Phone
(732) 776-4510
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MB07932700 NJ Primary

Addresses

Primary practice location

1945 Corlies Ave
Neptune, NJ 07753-4859

Mailing address

25 Ellis CT
Morganville, NJ 07751-2654
Phone (908) 868-6166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060427000531 NJ Practitioner - Emergency Medicine 3971513441 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barron Emergency Physicians LLCGroup PAC ID 8820083785, 99 clinicians

Practice addresses (Care Compare)

1945 State Hwy 33
Neptune, NJ 07753-4859
Phone (954) 939-5000

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (954) 939-5000

Hospital & facility affiliations

  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB07932700NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MVP Medical Associates II LLC Current Accepting new patients
MVP Medical Associates, PA CurrentSince Sep 3, 2011 Accepting new patients
MVP Medical Associates, PA CurrentSince Sep 3, 2011 Accepting new patients

Locations

1803 State Route 35
Oakhurst, NJ 07755
Phone (732) 695-3668

1851 Hooper Ave
Ste B
Toms River, NJ 08753
Phone (732) 255-2001

1851 Hooper Ave
Ste B1
Toms River, NJ 08753
Phone (732) 255-2001

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1760418966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ELLIS CT",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077512654",
            "telephone_number": "908-868-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534859",
            "telephone_number": "732-776-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJARES",
        "first_name": "GREGG",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MB07932700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

Verify at the official NPI Registry.