Active NPI
Perry Brown Molinoff, MD
- Health Educator
- Philadelphia, PA
National Provider Identifier
1780912907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- MD041400L
- Practice address
- 3620 Hamilton Walk
204 Anatomy Chemistry Building
Philadelphia, PA 19104-4799 - Phone
- (215) 898-2832
- NPI assigned
- Nov 29, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | MD041400L | PA | Primary |
Addresses
Primary practice location
3620 Hamilton Walk
204 Anatomy Chemistry Building
Philadelphia, PA 19104-4799
Mailing address
3620 Hamilton Walk
204 Anatomy Chemistry Building
Philadelphia, PA 19104-4799
Phone (215) 898-2832
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD041400L | PA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259452800000",
"number": "1780912907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 HAMILTON WALK",
"address_2": "204 ANATOMY CHEMISTRY BUILDING",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044799",
"telephone_number": "215-898-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 HAMILTON WALK",
"address_2": "204 ANATOMY CHEMISTRY BUILDING",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044799",
"telephone_number": "215-898-2832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINOFF",
"first_name": "PERRY",
"middle_name": "BROWN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-29",
"last_updated": "2009-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "PA",
"license": "MD041400L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.