Individual provider Active NPI

Molly Collins, PA-C

  • Medical Physician Assistant
  • Jericho, NY
National Provider Identifier
1013317262
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
033838 Issued in NY
Practice address
366 N Broadway Ste 305
Jericho, NY 11753-2000
Phone
(516) 496-4964
Fax
(516) 496-4950
NPI assigned
Aug 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 033838 NY
Interventional Pain Medicine Physician 208VP0014X MC3343009 NY
Medical Physician Assistant 363AM0700X 033838 NY Primary
Orthopaedic Surgery Physician 207X00000X C07454 MD

Addresses

Primary practice location

366 N Broadway Ste 305
Jericho, NY 11753-2000

Mailing address

138 Candee Ave
Sayville, NY 11782-3057
Phone (516) 496-4964

Other practice location 1

600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200309001252 MD Practitioner - Physician Assistant 4789907916 Reassigns benefits to 1 organization
I20251001001554 NY Practitioner - Physician Assistant 4789907916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phillip Fyman and Alexander Weingarten MD PCGroup PAC ID 7719878719, 2 clinicians

Practice addresses (Care Compare)

366 N Broadway
Jericho, NY 11753-2000
Phone 51649649642021

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C07454MDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Feb 24, 2020 Accepting new patients
Phillip Fyman and Alexander Weingarten MD PC CurrentSince Sep 1, 2025 Accepting new patients
Johns Hopkins University Orthopaedic Surgery CurrentSince Feb 24, 2020 Accepting new patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients

Locations

4940 Eastern Ave
Baltimore, MD 21224

600 N Wolfe St
Baltimore, MD 21287

4940 Eastern Ave
#A6
Baltimore, MD 21224
Phone (410) 550-0101

366 N Broadway
Ste 305
Jericho, NY 11753
Phone (516) 496-4964

Interoperability endpoints

  • Direct secure messaging: mcollins591220@direct.hopkinsmedicine.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1013317262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CANDEE AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823057",
            "telephone_number": "516-496-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 N BROADWAY STE 305",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532000",
            "telephone_number": "516-496-4964",
            "fax_number": "516-496-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "MOLLY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-25",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "033838",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "MC3343009",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "033838",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "C07454",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jericho, NY

Sources for this page

Verify at the official NPI Registry.