NPIMap

Individual provider Active NPI

Molly Nussbaum Schulman, N.P.

  • Adult Health Nurse Practitioner
  • West Harrison, NY
National Provider Identifier
1104336965
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
308488 Issued in NY
Practice address
500 Westchester Ave
West Harrison, NY 10604-3200
Phone
(914) 367-7000
NPI assigned
Oct 6, 2017
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 308488 NY Primary

Addresses

Primary practice location

500 Westchester Ave
West Harrison, NY 10604-3200

Mailing address

11 Prospect Dr
Chappaqua, NY 10514-3405
Phone (301) 775-1345

Other identifiers 1

IdentifierTypeStateIssuer
05044853MedicaidNY

Other names 1

  • Ms. Molly Elizabeth Nussbaum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180206000608 NY Practitioner - Nurse Practitioner 0042570327 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
New York University Medical College - NLG, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MSK HarrisonGroup PAC ID 1052634045, 134 clinicians

Practice addresses (Care Compare)

500 Westchester Ave
West Harrison, NY 10604-3200
Phone (212) 639-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Consultation Group CurrentSince Jan 2, 2025 Accepting new patients
MSK Harrison CurrentSince Jun 18, 2023 Accepting new patients
Memorial Neurology Group CurrentSince Dec 3, 2017 Accepting new patients
Memorial Solid Tumor Group CurrentSince Jun 18, 2023 Accepting new patients

Locations

633 3rd Ave
Fl 4
New York, NY 10017
Phone (646) 227-3764

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

500 Westchester Ave
West Harrison, NY 10604
Phone (914) 367-7000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: mschulman36547@mskcc.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1104336965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PROSPECT DR",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143405",
            "telephone_number": "301-775-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WESTCHESTER AVE",
            "city": "WEST HARRISON",
            "state": "NY",
            "postal_code": "106043200",
            "telephone_number": "914-367-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULMAN",
        "first_name": "MOLLY",
        "middle_name": "NUSSBAUM",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05044853",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "NUSSBAUM",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Harrison, NY

Sources for this page

Verify at the official NPI Registry.