James Mollosky

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000064-1 Issued in NY

Practice address

4225 Genesee St
Buffalo, NY 14225-1994

Phone

(716) 204-3200

NPI assigned

Aug 14, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1184235970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 GENESEE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251994",
            "telephone_number": "716-204-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 GENESEE ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142251994",
            "telephone_number": "716-204-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOSKY",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "028524",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000064-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC",
            "identifier": "069702653",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA",
            "identifier": "951618",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETIC TRAINER",
            "identifier": "000064-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Rose Molak, MSW
• Richard Moleski
• Wadzanayi Molife-Pether
• Gloria A Molina
• Karen Marie Moline, OTR/L
• Daniel Joseph Molloy, M.D.
• Courtney Moltzen, DO
• Nicole L Mombrea, RN,BSN,MSN,FNP-C
• Andrea Marie Monaco, PHARM.D.
• Brian Anthony Monaco, M.D.

• Athletic Trainer in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Athletic Trainer in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.