Marianthi Molfetas, DOCTOR OF DENTAL SUR

Primary specialty

DentistTaxonomy code 122300000X

License

044042 Issued in NY

Practice address

615 W 176TH St Apt 2WF
New York, NY 10033-7821

Phone

(917) 648-4689

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Mariane Molfetas Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1194857888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W 176TH ST APT 2WF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 176TH ST APT 2WF",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337821",
            "telephone_number": "917-648-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLFETAS",
        "first_name": "MARIANTHI",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF DENTAL SUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "044042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01768161",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANE",
            "last_name": "MOLFETAS",
            "prefix": "DR.",
            "credential": "DOCTOR OF DENTAL SUR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Deirdre A Mole, RN
• Daniela Molena, M.D.
• Molly Jean Molendyke
• Grace Molera
• Stefan Llanes Moleta, RN
• David Molho, DDS
• Elvira Molina Bataga
• Felipe Molina Burbano
• Gaudys Adriana Molina de Jaramillo
• Jhonder Molina del Toro, MD

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.