Individual provider Active NPI

Mark Molinsky, DDS

  • Dentist
  • Forest Hills, NY
National Provider Identifier
1174617591
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
038193 Issued in NY
Practice address
6766 108TH St
Forest Hills, NY 11375-0001
Phone
(718) 263-7733
Fax
(718) 263-7112
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 038193 NY Primary

Addresses

Primary practice location

6766 108TH St
Forest Hills, NY 11375-0001

Mailing address

6766 108TH St
Forest Hills, NY 11375-2974
Phone (718) 263-7733

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090911000007 NY Practitioner - Oral Surgery 3375698582 Practice locations: Forest Hills, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038193NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Molinsky DDS Dentist PastSince Jan 1, 1990 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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1174617591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6766 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752974",
            "telephone_number": "718-263-7733",
            "fax_number": "718-263-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6766 108TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113750001",
            "telephone_number": "718-263-7733",
            "fax_number": "718-263-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINSKY",
        "first_name": "MARK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "038193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.