Organization Active NPI

Ian J. Molk, M.D., L.L.C

  • Cardiovascular Disease Physician
  • Edison, NJ
National Provider Identifier
1376680066
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA0462510 Issued in NJ
Legal business name
IAN J. MOLK, M.D., L.L.C
Practice address
4 Ethel Rd
Suite 406a
Edison, NJ 08817-2841
Phone
(732) 287-2888
Fax
(732) 287-1176
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Authorized official

Name
Dr. Ian J Molk
Title
Physician
Phone
(732) 287-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MA0462510 NJ Primary

Addresses

Primary practice location

4 Ethel Rd
Suite 406a
Edison, NJ 08817-2841

Mailing address

4 Ethel Rd
Suite 406a
Edison, NJ 08817-2841
Phone (732) 287-2888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1376680066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ETHEL RD",
            "address_2": "SUITE 406A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172841",
            "telephone_number": "732-287-2888",
            "fax_number": "732-287-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ETHEL RD",
            "address_2": "SUITE 406A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172841",
            "telephone_number": "732-287-2888",
            "fax_number": "732-287-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN J. MOLK, M.D., L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "MOLK",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "732-287-2888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA0462510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.