Active NPI
Bruce Molinelli, M.D.
- Surgery Physician
- Cos Cob, CT
National Provider Identifier
1083788202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 033066
- Practice address
- 31 River Rd
Suite 102
Cos Cob, CT 06807-2152 - Phone
- (203) 742-1173
- Fax
- (203) 489-3411
- NPI assigned
- Nov 20, 2006
- Last updated
- Jan 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 033066 | CT | Primary |
Addresses
Primary practice location
31 River Rd
Suite 102
Cos Cob, CT 06807-2152
Mailing address
31 River Rd
Suite 102
Cos Cob, CT 06807-2152
Phone (203) 742-1173
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033066 | CT | MD | Surgery Physician |
| 182935 | NY | MD | Developmentally Disabled Services Day Training Agency |
Interoperability endpoints
- bmolinelli@hiemail.healtheconnections.org
- brucemolinelli@nslijmedgr.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Surgery Physician
- Cos Cob, CT
- NPI 1861816290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1083788202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 RIVER RD",
"address_2": "SUITE 102",
"city": "COS COB",
"state": "CT",
"postal_code": "068072152",
"telephone_number": "203-742-1173",
"fax_number": "203-489-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 RIVER RD",
"address_2": "SUITE 102",
"city": "COS COB",
"state": "CT",
"postal_code": "068072152",
"telephone_number": "203-742-1173",
"fax_number": "203-489-3411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINELLI",
"first_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CT",
"license": "033066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cos Cob, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.