Organization Active NPI

Guillermo J. Molina, DDS & Associates, LLC

  • Prosthodontics
  • Ridgewood, NJ
National Provider Identifier
1730107707
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
22DI01892300 Issued in NJ
Legal business name
GUILLERMO J. MOLINA, DDS & ASSOCIATES, LLC
Practice address
1200 E Ridgewood Ave
East Wing, First Floor
Ridgewood, NJ 07450-3957
Phone
(201) 670-7774
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Guillermo J Molina, DDSNPI 1952323701
Title
Owner
Phone
(201) 670-7774

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 22DI01892300 NJ Primary

Addresses

Primary practice location

1200 E Ridgewood Ave
East Wing, First Floor
Ridgewood, NJ 07450-3957

Mailing address

1200 E Ridgewood Ave
East Wing, First Floor
Ridgewood, NJ 07450-3957
Phone (201) 670-7774

National Provider Directory

National Provider Directory

Locations

1200 E Ridgewood Ave
Ste 1
Ridgewood, NJ 07450
Phone (201) 444-4499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730107707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "address_2": "EAST WING, FIRST FLOOR",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "201-670-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "address_2": "EAST WING, FIRST FLOOR",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "201-670-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO J. MOLINA, DDS & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-670-7774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI01892300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.