Active NPI
Pamela Molyneaux
- Physical Therapist
- Clark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02171800
- Practice address
- 60 Walnut Ave Ste 180
Clark, NJ 07066-1647 - Phone
- (732) 340-1012
- NPI assigned
- May 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02171800 | NJ | Primary |
Addresses
Primary practice location
60 Walnut Ave Ste 180
Clark, NJ 07066-1647
Mailing address
4 Walter E Foran Blvd Ste 203
Flemington, NJ 08822-4666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
60 Walnut Ave
Suite 180
Clark, NJ 07066-1647
Phone (732) 340-1012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02171800 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Atlas Spine & Movement Center LLC | Physical Therapist | Current | Accepting new patients |
Locations
60 Walnut Ave
Ste 180
Clark, NJ 07066
Phone (732) 340-1012
4 Walter E Foran Blvd
Flemington, NJ 08822
Phone 9082370000 ext. 90823
4 Walter E Foran Blvd
Ste 203
Flemington, NJ 08822
Phone (732) 340-1012
4010 Bergenline Ave
Union City, NJ 07087
Phone (917) 923-9459
Organizations & group practices 2
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.
-
- Physical Therapist
- Union City, NJ
- NPI 1780549832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685059200000",
"number": "1376236356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 WALTER E FORAN BLVD STE 203",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088224666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 WALNUT AVE STE 180",
"city": "CLARK",
"state": "NJ",
"postal_code": "070661647",
"telephone_number": "732-340-1012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLYNEAUX",
"first_name": "PAMELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-26",
"last_updated": "2023-05-26",
"certification_date": "2023-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02171800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.