Individual provider Active NPI

Peter W Mollica, D.P.M

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1285683508
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003105 Issued in NY
Practice address
8223 14TH Ave
Brooklyn, NY 11228-3113
Phone
(718) 236-4231
Fax
(718) 852-9155
NPI assigned
May 6, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N003105 NY Primary

Addresses

Primary practice location

8223 14TH Ave
Brooklyn, NY 11228-3113

Mailing address

8223 14TH Ave
Brooklyn, NY 11228-3113
Phone (718) 236-4231

Other identifiers 1

IdentifierTypeStateIssuer
00624502MedicaidNY

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
I20040317001346 NY Practitioner - Podiatry 0749170363 Reassigns benefits to 5 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1 Brookdale PLZ
Brooklyn, NY 11212-3198

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

528 Prospect PL
Brooklyn, NY 11238-4205
Phone (718) 613-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue64
Removal of nail tissue54
Removal or shaving of skin growth20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003105NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsbrook Medical Associates, PC CurrentSince Oct 9, 2018 Accepting new patients
Urban Strategies Brookdale Family Care Center Inc Podiatrist CurrentSince Oct 20, 2018 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Oct 20, 2018 Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Jan 15, 2024 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Oct 20, 2018 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Oct 20, 2018 Accepting new patients
Kingsbrook Medical Associates PC CurrentSince Oct 9, 2018 Accepting new patients
Brookdale Family Care Center, Inc. Podiatrist CurrentSince Oct 20, 2018 Accepting new patients
The Brookdale Hospital Medical Center Past Accepting new patients

Locations

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

1110 Eastern Pkwy
Brooklyn, NY 11213
Phone (718) 604-5764

1110 Eastern Pkwy
Pier Toussaint
Brooklyn, NY 11213
Phone (718) 735-1900

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

2554 Linden Blvd
Brooklyn, NY 11208
Phone (718) 240-5132

465 New Lots Ave
Brooklyn, NY 11207
Phone (718) 240-5133

585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1285683508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8223 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283113",
            "telephone_number": "718-236-4231",
            "fax_number": "718-852-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8223 14TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112283113",
            "telephone_number": "718-236-4231",
            "fax_number": "718-852-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLICA",
        "first_name": "PETER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00624502",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.