Sandra Molocznik MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME103726 Issued in FL

Legal business name

SANDRA MOLOCZNIK MD PA

Practice address

3363 NE 163Rd St
Suite 809
N Miami Beach, FL 33160-4401

Phone

(786) 345-1516

Fax

(786) 513-2617

NPI assigned

Jul 13, 2010

Last updated

Jan 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sandra E Molocznik, MDNPI 1528202546

Title

Owner

Phone

(786) 345-1516

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Eugenia Molocznik, MD

  • Internal Medicine Physician
  • N Miami Beach, FL
  • NPI 1528202546
  NPD (past) Authorized official

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389830400000",
    "number": "1053623595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3363 NE 163RD ST",
            "address_2": "SUITE 809",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604401",
            "telephone_number": "786-345-1516",
            "fax_number": "786-513-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3363 NE 163RD ST",
            "address_2": "SUITE 809",
            "city": "N MIAMI BEACH",
            "state": "FL",
            "postal_code": "331604401",
            "telephone_number": "786-345-1516",
            "fax_number": "786-513-2617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA MOLOCZNIK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2014-01-16",
        "status": "A",
        "authorized_official_last_name": "MOLOCZNIK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-345-1516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME103726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in N Miami Beach, FL
• Providers in N Miami Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.