Individual provider Active NPI

Molly Nicastro, PA-C

  • Medical Physician Assistant
  • Doylestown, PA
National Provider Identifier
1639689540
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA059346 Issued in PA
Practice address
310 Farm LN
Doylestown, PA 18901-4732
Phone
(215) 348-3990
Fax
(215) 348-7705
NPI assigned
Oct 5, 2017
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA059346 PA Primary

Addresses

Primary practice location

310 Farm LN
Doylestown, PA 18901-4732

Mailing address

PO Box 829641
Philadelphia, PA 19182-0001
Phone (267) 370-5285

Other names 1

  • Molly Mae Grove Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190206000449 PA Practitioner - Physician Assistant 0749528321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Via AffiliatesGroup PAC ID 1759295512, 180 clinicians

Practice addresses (Care Compare)

310 Farm LN
Doylestown, PA 18901-4732
Phone (215) 348-1990

593 W State STR 3Rd Floor
Doylestown Surgery Center Urology
Doylestown, PA 18901-2554
Phone (215) 230-0600

595 W State St
Doylestown, PA 18901-2554

599 W State St
Suite 202
Doylestown, PA 18901-2554
Phone (215) 345-6050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Via Affiliates CurrentSince Mar 1, 2019 Accepting new patients
Via Affiliates CurrentSince Mar 1, 2019 Accepting new patients
Doylestown Internal Medicine Associates PC Past Accepting new patients

Locations

310 Farm Ln
Doylestown, PA 18901
Phone (215) 348-3990

595 W State St
Doylestown, PA 18901
Phone (215) 345-2200

708 N Shady Retreat Rd
Ste 5
Doylestown, PA 18901
Phone (215) 348-5888

Interoperability endpoints

  • Direct secure messaging: molly.grove@dhcp.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1639689540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829641",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191820001",
            "telephone_number": "267-370-5285",
            "fax_number": "215-230-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FARM LN",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014732",
            "telephone_number": "215-348-3990",
            "fax_number": "215-348-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICASTRO",
        "first_name": "MOLLY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA059346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "GROVE",
            "middle_name": "MAE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.