Individual provider Active NPI

Daniel Miguel Molina, RPH

  • Community Health Worker
  • Harrison, NJ
National Provider Identifier
1295041200
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
28RI01811100 Issued in NJ
Practice address
432 Bergen St
Harrison, NJ 07029-2291
Phone
(973) 483-5336
Fax
(973) 483-6541
NPI assigned
Aug 27, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI01811100NJMDCommunity Health Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 28RI01811100 NJ Primary

Addresses

NPPES NPI Registry

Primary practice location

432 Bergen St
Harrison, NJ 07029-2291

Mailing address

111 E 37TH St
Apt 2F
New York, NY 10016-3041
Phone (917) 941-3914

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 27, 2010.

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1295041200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 37TH ST",
            "address_2": "APT 2F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163041",
            "telephone_number": "917-941-3914",
            "fax_number": "973-483-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 BERGEN ST",
            "city": "HARRISON",
            "state": "NJ",
            "postal_code": "070292291",
            "telephone_number": "973-483-5336",
            "fax_number": "973-483-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "DANIEL",
        "middle_name": "MIGUEL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NJ",
            "license": "28RI01811100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.