Individual provider Active NPI

Mollie Rose Salmon, DNP, FNP-BC

  • Family Nurse Practitioner
  • North Brunswick Township, NJ
National Provider Identifier
1417635798
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14866300 Issued in NJ
Practice address
1527 NJ-27
B100
North Brunswick Township, NJ 08873
Phone
(732) 220-1222
NPI assigned
Jul 7, 2023
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14866300 NJ Primary

Addresses

Primary practice location

1527 NJ-27
B100
North Brunswick Township, NJ 08873

Mailing address

49 Charles St
Metuchen, NJ 08840-2748
Phone (732) 221-0963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231103001133 NJ Practitioner - Nurse Practitioner 7618323718 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Dermatology LLCGroup PAC ID 5395703573, 46 clinicians

Practice addresses (Care Compare)

622 Boulevard
Kenilworth, NJ 07033-1640
Phone (908) 241-3181

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ14866300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Schweiger Dermatology, PC CurrentSince Jun 24, 2023 Accepting new patients
Clark Dermatology LLC CurrentSince Mar 2, 2026 Accepting new patients
Clark Dermatology, LLC PastSince May 11, 2025 Accepting new patients

Locations

1075 Central Ave
Clark, NJ 07066
Phone (732) 574-1399

469 Morris Ave
Ste 3
Elizabeth, NJ 07208
Phone (732) 574-1399

105 Raider Blvd
Ste 203
Hillsborough, NJ 08844
Phone (201) 299-4521

622 Boulevard
Kenilworth, NJ 07033
Phone (908) 241-3181

712 E Bay Ave
Ste 18
Manahawkin, NJ 08050

1527 State Route 27
Ste B100
Somerset, NJ 08873

95 Woodstown Rd
Ste B
Swedesboro, NJ 08085
Phone (856) 358-1500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1417635798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 CHARLES ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402748",
            "telephone_number": "732-221-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 NJ-27",
            "address_2": "B100",
            "city": "NORTH BRUNSWICK TOWNSHIP",
            "state": "NJ",
            "postal_code": "08873",
            "telephone_number": "732-220-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMON",
        "first_name": "MOLLIE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14866300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick Township, NJ

Sources for this page

Verify at the official NPI Registry.