Provider Demographics
NPI:1235583204
Name:MVP MEDICAL ASSOCIATES, PA
Entity Type:Organization
Organization Name:MVP MEDICAL ASSOCIATES, PA
Other - Org Name:FAMILY FIRST URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOJARES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-531-0100
Mailing Address - Street 1:1803 HIGHWAY 35 SOUTH
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-2700
Mailing Address - Country:US
Mailing Address - Phone:732-531-0100
Mailing Address - Fax:732-531-0144
Practice Address - Street 1:1851 HOOPER AVE
Practice Address - Street 2:SUITE B
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-8128
Practice Address - Country:US
Practice Address - Phone:732-255-2001
Practice Address - Fax:732-255-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-15
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ123021Medicare PIN