Michelle Molina, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

279524 Issued in NY

Practice address

46 N Central Ave
Ramsey, NJ 07446-1864

Phone

(844) 566-2723

NPI assigned

Sep 11, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 16, 2023 through Mar 16, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Premier Medical of NJ

  • Cardiovascular Disease Physician
  • Clifton, NJ
  • NPI 1316724263
  NPD (past)
• Wellness & Pain PC

  • Surgery Physician
  • Clifton, NJ
  • NPI 1184255119
  NPD (past)
• Narrows Nephrology

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1295764439
  NPD (past)

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1235530007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 N CENTRAL AVE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 N CENTRAL AVE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461864",
            "telephone_number": "844-566-2723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9921 4th Ave",
            "address_2": "Suite LL1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112098351",
            "country_code": "US",
            "telephone_number": "718-748-9282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "279524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Shawn Miller Bruckner, LCSW
• Mindbody Integrated Care LLC
• Indu Mirchandani, M.D.
• Carolyn M Mitchell, PT
• MJK Medical LLC
• Monarch Anesthesia Partners
• Matthew J Mongiello, DPT
• Carolyn Montini, M.S.
• Kelly Moorhouse, MA, LPC
• Jeanne Marie Moriarty, D.M.D.

• Neurology Physician in Ramsey, NJ
• Providers in Ramsey, NJ by specialty
• Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.