Active NPIIndividual providerSole proprietor

Dr. Jennifer Mojica-Itidiare, DO

Internal Medicine in Stratford, New Jersey

NPI Number1508129172
Practice location
1 Medical Center Dr, Suite 163, Stratford, NJ 08084-1500
Fax
856-566-6222
Last updated
February 10, 2020

Jennifer Mojica-Itidiare is an Internal Medicine based in Stratford, NJ. Jennifer Mojica-Itidiare practices in Stratford, NJ and has the professional credentials of DO. The NPI Number for Jennifer Mojica-Itidiare is 1508129172 and holds a License No. 25MB09620200 (NJ). The current practice location address for Jennifer Mojica-Itidiare is 1 Medical Center Dr, Suite 163, Stratford, NJ 08084-1500 and can be reached out via phone at 856-677-6708 and via fax at 856-566-6222.

Provider Profile Details

NPI Number
1508129172
Provider Name
Jennifer Mojica-Itidiare
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1 Medical Center Dr, Suite 163, Stratford, NJ 08084-1500
Phone Number
856-677-6708
Fax Number
856-566-6222
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Other Names
Dr. Jennifer Mojica, DO (Former Name)
Provider Enumeration Date
June 19, 2012
Last Update Date
February 10, 2020
Certification Date
February 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Dr
Suite 163
Stratford, NJ 08084-1500
Zip
08084-1500
Phone Number
856-677-6708
Fax Number
856-566-6222
Stratford, NJ 08084Get directions →

Provider Business Mailing Address Details

Address
151 Fries Mill RD Ste 301
Turnersville, NJ 08012-2016
City
Turnersville
State
NJ
Zip
08012-2016
Phone Number
856-513-4124
Fax Number
856-302-5932

License Information

License Number (2)
25MB09620200
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jennifer Mojica-Itidiare, DO?

The NPI number of Dr. Jennifer Mojica-Itidiare, DO is 1508129172. It was assigned on June 19, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Jennifer Mojica-Itidiare, DO?

Dr. Jennifer Mojica-Itidiare, DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MB09620200.

Where does Dr. Jennifer Mojica-Itidiare, DO practice?

The practice location is 1 Medical Center Dr, Suite 163, Stratford, NJ 08084-1500. The office can be reached at 856-677-6708 (phone) or 856-566-6222 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508129172 directly on the NPPES registry website.

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