Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jennifer Mojica-Itidiare, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508129172

Dr. Jennifer Mojica-Itidiare, DO is an Internal Medicine in Stratford, New Jersey. Graduated from Rowan University School of Osteopathic Medicine in 2012, 14 years ago. Practices with Kennedy Medical Group Practice, PC, a 414-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
14
Trained at
Rowan University School of Osteopathic Medicine
Licensed in
NJ
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1 Medical Center Dr Ste 163
Stratford, NJ 08084-1500
Phone: (856) 677-6708
Fax: (856) 566-6222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 435 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2453 — (856) 513-4124

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MB09620200 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508129172
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 19, 2012
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 2012 (14 years in practice)
Group practice Kennedy Medical Group Practice, P.C. — 414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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