Provider Demographics
NPI:1760211270
Name:MOJAR, MICHELE RUBIO (APRN)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:RUBIO
Last Name:MOJAR
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:760 WINDSOR PERRINEVILLE
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-4741
Mailing Address - Country:US
Mailing Address - Phone:908-447-1929
Mailing Address - Fax:
Practice Address - Street 1:340 ROUTE 34 STE 201
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-2434
Practice Address - Country:US
Practice Address - Phone:732-487-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15267100363LC0200X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine