Robert E Molle, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

096186 Issued in NY

Practice address

3066 35TH St
Astoria, NY 11103-4702

Phone

(718) 278-1919

Fax

(718) 278-7516

NPI assigned

Oct 10, 2005

Last updated

Mar 16, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1023006517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 35TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034702",
            "telephone_number": "718-278-1919",
            "fax_number": "718-278-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 35TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034702",
            "telephone_number": "718-278-1919",
            "fax_number": "718-278-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLE",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "096186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01689436",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "DS518",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "905022",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherin Mohamed
• Mohammad Ali Mohammad, PHARM.D.
• Roxana J Mohammad, CCC SLP
• Magdy Ibrahim Mohammed, MD
• Khadija Moharram
• Momentum Licensed Behavior Analysis, PC
• Monarq Chiropractic Wellness
• Latchmin Raghunauth Mondol, PHARMD
• Vivian Monsanto, MD
• Montefiore Medical Center

• Otolaryngology Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.