Mollie Elizabeth Dwivedi, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

100 Church St FL 8
New York, NY 10007-2614

Phone

(646) 859-7713

NPI assigned

Nov 17, 2017

Sex

Female

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

Enrolled in CA, WA, TX, MD, NY, MN6 enrollments

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 6

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Encora Health IncGroup PAC ID 9335502855, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Encora Health Inc

  • Obesity Medicine (Psychiatry & Neurology) Physician
  • Houston, TX
  • NPI 1235899949

  CA, WA

  Medicare reassignment Care Compare group
• Time Medical PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1477386696

  MD, MN

  Medicare reassignment
• Nudj Health, Inc.

  • Social Worker
  • Pasadena, CA
  • NPI 1184455586
  NPD
• Optimal Health Medicine LLC

  • Family Medicine Physician
  • Godfrey, IL
  • NPI 1316299332
  NPD (past)

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1710491337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHURCH ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072614",
            "telephone_number": "646-859-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHURCH ST FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072614",
            "telephone_number": "646-859-7713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Minnesota St",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012190",
            "country_code": "US",
            "telephone_number": "646-859-7713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWIVEDI",
        "first_name": "MOLLIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220095609",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Dweck
• Naomi Dweck
• Virginia Dweck, MSH, RD
• Youssra Dwedar
• Aeshita Dwivedi, MD
• Nitya Dwivedi
• Prashant Dwivedi
• Ivy Dwomoh, M.D
• Roman Dworecki, MD
• Ilana Dworin, PSYD

• Physician Assistant in New York, NY
• Providers in New York, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.