Philip Moldofsky, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD019745E Issued in PA

Practice address

865 W Lancaster Ave
Bryn Mawr, PA 19010-3336

Phone

(610) 527-8600

Fax

(610) 527-1234

NPI assigned

Jun 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Bucks County Radiology Associates, PC

  dba Tri State Open MRI

  • Body Imaging Physician
  • Matamoras, PA
  • NPI 1083627731

  Diagnostic Radiology

  NPD (past)
• Cumberland Pathology Associates, LLC

  • Anatomic Pathology Physician
  • Carlisle, PA
  • NPI 1386695666
  NPD (past)
• Insight Health Corp

  • Physiological Laboratory
  • Wilkes Barre, PA
  • NPI 1174647267
  NPD (past)
• Lebanon Diagnostic Imaging, LLC

  dba Lebanon Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Chambersburg, PA
  • NPI 1346246436
  NPD (past)
• Tristate Imaging Consultants, LLC

  dba Manahawkin Open MRI

  • Diagnostic Radiology Physician
  • Manahawkin, NJ
  • NPI 1578569679
  NPD (past)

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1417953167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 GREENWOOD AVE",
            "address_2": "SUITE 150",
            "city": "JENKINTOWN",
            "state": "PA",
            "postal_code": "190462627",
            "telephone_number": "215-379-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 W LANCASTER AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103336",
            "telephone_number": "610-527-8600",
            "fax_number": "610-527-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLDOFSKY",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD019745E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000793474",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne B Mitchell, CRNP
• Holland Mittl
• Modern Family Medicine Main Line LLC
• Ronald Dial Mojica, MD
• Sophia Moldavsky, M.D.
• Moll Premier Primary Care LLC
• Momenta Chiropractic LLC
• Kayleigh Marie Monahan
• Adriana Monferre, MD
• Eric Montoye

• Diagnostic Radiology Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.