Individual provider Active NPI

Rene Molnar, D.O.

  • Family Medicine Physician
  • East Patchogue, NY
National Provider Identifier
1124354907
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
250712 Issued in NY
Practice address
56 Orchard Rd
East Patchogue, NY 11772-5509
Phone
(631) 855-2329
NPI assigned
Oct 28, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 250712 NY Primary

Addresses

Primary practice location

56 Orchard Rd
East Patchogue, NY 11772-5509

Mailing address

56 Orchard Rd
East Patchogue, NY 11772-5509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20200905000024 GA Practitioner - Family Practice 7810166493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
250712NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southampton Hospital Association PastSince May 15, 2017 Accepting new patients

Organizations & group practices 1

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": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1124354907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 ORCHARD RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ORCHARD RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117725509",
            "telephone_number": "631-855-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLNAR",
        "first_name": "RENE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-28",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "250712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

Verify at the official NPI Registry.