Individual provider Active NPI

Richard Bugarin Molina, M.D.

  • Nephrology Physician
  • Brooklyn, NY
National Provider Identifier
1629000393
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
156624 Issued in NY
Practice address
9921 4TH Ave
LL1-LL2
Brooklyn, NY 11209-8347
Phone
(718) 748-9282
Fax
(718) 748-5350
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 156624 NY Primary

Addresses

Primary practice location

9921 4TH Ave
LL1-LL2
Brooklyn, NY 11209-8347

Mailing address

9921 4TH Ave
LL1-LL2
Brooklyn, NY 11209-8347
Phone (718) 748-9282

Other identifiers 1

IdentifierTypeStateIssuer
00825374MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Narrows Nephrology Nephrology PastSince Aug 10, 2000 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629000393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 4TH AVE",
            "address_2": "LL1-LL2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098347",
            "telephone_number": "718-748-9282",
            "fax_number": "718-748-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9921 4TH AVE",
            "address_2": "LL1-LL2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098347",
            "telephone_number": "718-748-9282",
            "fax_number": "718-748-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "RICHARD",
        "middle_name": "BUGARIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "156624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00825374",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.