Individual provider Active NPI

Dina Moldavski, RN BSN

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1346904406
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
593331 Issued in NY
Practice address
1516 Oriental Blvd
Brooklyn, NY 11235-2328
Phone
(718) 646-4441
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 593331 NY Primary

Addresses

Primary practice location

1516 Oriental Blvd
Brooklyn, NY 11235-2328

Mailing address

58 Chatsworth Rd
Manalapan, NJ 07726-4188
Phone (646) 670-2514

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmoldavs@mjhs.org

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
593331NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1346904406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 CHATSWORTH RD",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077264188",
            "telephone_number": "646-670-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 ORIENTAL BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352328",
            "telephone_number": "718-646-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDAVSKI",
        "first_name": "DINA",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "593331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmoldavs@mjhs.org",
            "affiliation": "N",
            "address_1": "1516 Oriental Blvd",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112352328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.