Monitoring large herbivores across their core range has been readily accomplished using aerial surveys and traditional distance sampling. But for peripheral populations, where individuals may occur in patchy, low‐density populations, precise estimation of population size and trend remains logistically and statistically challenging. For moose (Alces alces) along their southern range margin in northern New York, USA, we sought robust estimates of moose distribution, abundance, and population trend (2016–2019) using a combination of aerial surveys (line transect distance‐sampling), repeated surveys in areas where moose were known to occur to boost the number of detections, and density surface modeling (DSM) with spatial covariates. We achieved a precise estimate of density (95% CI = 0.00–0.29 moose/km2) for this small population (656 moose, 95% CI = 501–859), which was patchily distributed across a large and heavily forested region (the 24,280‐km2 Adirondack Park). Local moose abundance was positively related to active timber management, elevation, and snow cover, and negatively related to large bodies of water. As expected, moose abundance in this peripheral population was low relative to its core range in other northern forest states. Yet, in areas where abundance was greatest, moose densities in New York approached those where epizootics of winter tick (Dermacentor albipictus) have been reported, underscoring the need for effective and efficient monitoring. By incorporating autocorrelation in observations and landscape covariates, DSM provided spatially explicit estimates of moose density with greater precision and no additional field effort over traditional distance sampling. Combined with repeated surveys of areas with known moose occurrence to achieve viable sample sizes, DSM is a useful tool for effectively monitoring low density and patchy populations.