Healthcare Provider Details

I. General information

NPI: 1235583204
Provider Name (Legal Business Name): MVP MEDICAL ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2016
Last Update Date: 05/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1851 HOOPER AVE SUITE B
TOMS RIVER NJ
08753-8128
US

IV. Provider business mailing address

1803 HIGHWAY 35 SOUTH
OAKHURST NJ
07755-2700
US

V. Phone/Fax

Practice location:
  • Phone: 732-255-2001
  • Fax: 732-255-2020
Mailing address:
  • Phone: 732-531-0100
  • Fax: 732-531-0144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD A MOJARES
Title or Position: OWNER
Credential: MD
Phone: 732-531-0100