Mariessa Molloy, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

SP026891 Issued in PA

Practice address

527 Baltimore Pike
Springfield, PA 19064-3839

Phone

(484) 470-6767

NPI assigned

Dec 30, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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.

• PM Pediatrics of Pennsylvania

  • Urgent Care Clinic/Center
  • Abington, PA
  • NPI 1780169227
  NPD (past)
• PM Pediatrics of Delaware PA

  • Pediatrics Physician
  • Newark, DE
  • NPI 1316691371
  NPD (past)

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1356054746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 WILLOW BEND DR",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190812500",
            "telephone_number": "856-723-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 BALTIMORE PIKE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643839",
            "telephone_number": "484-470-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "MARIESSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "SP026891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Miller
• Kathleen Milliken, CRNP
• Art Miron, LCSW
• MLG Chiropractic Assoc. LLC
• Shahid Mohammed Mohiuddin, D.M.D.
• Linda Molmen
• Aye Mon
• Rachael Noelle Montesano
• Michael Montie
• Moore Eye Care, P.C.

• Pediatric Nurse Practitioner in Springfield, PA
• Providers in Springfield, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.