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DR. EDWIN RAFAEL MOSQUEA GOMEZ MD
NPI 1619617560
Student in an Organized Health Care Education/Training Program in Montclair, NJ

Active since March 30, 2022PECOS Enrolled
1 BAY AVE, MONTCLAIR, NJ 07042(862) 333-4700 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Edwin Rafael Mosquea Gomez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWIN RAFAEL MOSQUEA GOMEZ MD (NPI 1619617560) is an individual student in an organized health care education/training program in Montclair, New Jersey and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619617560
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. EDWIN RAFAEL MOSQUEA GOMEZCredential: MD
Location Address1 BAY AVEMontclair, NJ 07042-4837
Mailing Address131 S Robertson St Rm 803New Orleans, LA 70112-2807 · (504) 988-6145
Phone(862) 333-4700
Sole ProprietorYes
Enumeration DateMarch 30, 2022
Last NPPES UpdateJune 27, 2025
NPPES CertifiedJune 27, 2025
✔ NPI 1619617560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 BAY AVE, Montclair, NJ 07042
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edwin Rafael Mosquea Gomez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMRAH GHANI MD
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
JACLYN TAYLOR SCHMITZ
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MYINT KYI M.D.
Anesthesiology
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6219
EDWARD PETRARCA LCSW
Social Worker (Clinical)
1 BAY AVE, MOUNTAINSIDE HOSPITAL
MONTCLAIR, NJ 07042
Essex County (973) 429-6813
ANN FRANCES VALLONE NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6272
ANN SAMIR YASIN IBRAHIM
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
GEORGE JAMES ZACH
Dentist
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MRS. ESTHER D. BAXAM-SPENCE RN, MSN, CNNP
Nurse Practitioner (Neonatal)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6991

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Mosquea Gomez's NPI number?

The NPI number for Edwin Mosquea Gomez is 1619617560. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Edwin Mosquea Gomez located?

Edwin Mosquea Gomez practices at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (862) 333-4700.

What is Edwin Mosquea Gomez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Edwin Mosquea Gomez enrolled in Medicare?

Yes. Edwin Mosquea Gomez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edwin Mosquea Gomez was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.