Active NPI
Guillermo J. Molina, DDS & Associates, LLC
- Prosthodontics
- Ridgewood, NJ
National Provider Identifier
1730107707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 22DI01892300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Guillermo J Molina, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 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 DirectoryLocations
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.
-
- Prosthodontics
- Ridgewood, NJ
- NPI 1952323701
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.