Individual provider Active NPI

Maria C Molina, M.D.

  • Pediatric Adolescent Medicine Physician
  • Hammonton, NJ
National Provider Identifier
1144279571
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
25MA06273100 Issued in NJ
Practice address
860 S White Horse Pike
Hammonton, NJ 08037-2018
Phone
(609) 567-0200
Fax
(609) 567-1951
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 25MA06273100 NJ Primary

Addresses

Primary practice location

860 S White Horse Pike
Hammonton, NJ 08037-2018

Mailing address

PO Box 1309
Marlton, NJ 08053-6309
Phone (609) 567-0200

Other identifiers 1

IdentifierTypeStateIssuer
6780105MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20140331000675 NJ Practitioner - Pediatric Medicine 0547491821 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA06273100NJMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Act on Total Health Medical Group, LLC CurrentSince Feb 2, 2021 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince May 28, 2024 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince May 28, 2024 Accepting new patients
Quality Care Pediatrics, LLC. Past Accepting new patients
Southern Jersey Family Medical Centers, Inc. PastSince Jul 7, 2024 Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients

Locations

4401 Ventnor Ave
Ste 3
Atlantic City, NJ 08401
Phone (609) 344-1836

3003 English Creek Ave
Ste C6
Egg Harbor Twp, NJ 08234
Phone (609) 481-3185

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

2354 US Highway 9
Howell, NJ 07731
Phone (732) 905-5255

1634 New Rd
Northfield, NJ 08225
Phone (609) 272-0655

521 Tilton Rd
#523
Northfield, NJ 08225
Phone (609) 272-9040

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Organizations & group practices 6

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1144279571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1309",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080536309",
            "telephone_number": "609-567-0200",
            "fax_number": "609-704-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372018",
            "telephone_number": "609-567-0200",
            "fax_number": "609-567-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "MARIA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NJ",
            "license": "25MA06273100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6780105",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.