Dr. Edwin R Mosquea Gomez, MD
Student in an Organized Health Care Education/Training Program in Montclair, New Jersey
1619617560- Practice location
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone
- 862-333-4700
- Fax
- —
- Last updated
- June 27, 2025
Edwin Rafael Mosquea Gomez is a Student in an Organized Health Care Education/Training Program based in Montclair, NJ. Edwin Rafael Mosquea Gomez practices in Montclair, NJ and has the professional credentials of MD. The NPI Number for Edwin Rafael Mosquea Gomez is 1619617560. The current practice location address for Edwin Rafael Mosquea Gomez is 1 Bay Ave, Montclair, NJ 07042-4837 and can be reached out via phone at 862-333-4700.
Provider Profile Details
- NPI Number
- 1619617560
- Provider Name
- Edwin Rafael Mosquea Gomez
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Bay Ave, Montclair, NJ 07042-4837
- Phone Number
- 862-333-4700
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 30, 2022
- Last Update Date
- June 27, 2025
- Certification Date
- June 27, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Bay Ave
Montclair, NJ 07042-4837 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-4837
- Phone Number
- 862-333-4700
Provider Business Mailing Address Details
- Address
- 131 S Robertson St Rm 803
New Orleans, LA 70112-2807 - City
- New Orleans
- State
- LA
- Zip
- 70112-2807
- Phone Number
- 504-988-6145
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Edwin R Mosquea Gomez, MD?
The NPI number of Dr. Edwin R Mosquea Gomez, MD is 1619617560. It was assigned on March 30, 2022 and is currently active in the NPPES registry.
What is the specialty of Dr. Edwin R Mosquea Gomez, MD?
Dr. Edwin R Mosquea Gomez, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Dr. Edwin R Mosquea Gomez, MD practice?
The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The office can be reached at 862-333-4700 (phone).
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 1619617560 directly on the NPPES registry website.