Jonathan R Moldover MD LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

JONATHAN R MOLDOVER MD LLC

Practice address

200 W 57TH St
Suite 608
New York, NY 10019-3211

Phone

(212) 581-4488

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Moldover, M.D

Title

Doctor

Phone

(212) 581-4488

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1164616603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUITE 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "212-581-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUITE 608",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "212-581-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN R MOLDOVER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "MOLDOVER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-581-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jonathan R Roy DPM PC (Podiatry)
• Jonathan R. Stieber, MD, PLLC (OrthoManhattan)
• Jonathan Roberts DDS & Craig Sirota DMD PC
• Jonathan Rosenthal, MD PLLC
• Jonathan S Kirschner MD PLLC

• Pain Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Pain Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.