Individual provider Active NPI

Adam Molinary, LPN

  • Licensed Practical Nurse
  • Gardiner, NY
National Provider Identifier
1831461425
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
304858 Issued in NY
Practice address
1588 Albany Post Rd
Gardiner, NY 12525-5520
Phone
(845) 926-4045
NPI assigned
Jan 30, 2012
Last updated
Apr 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 304858 NY Primary

Addresses

Primary practice location

1588 Albany Post Rd
Gardiner, NY 12525-5520

Mailing address

1588 Albany Post Rd
Gardiner, NY 12525-5520
Phone (845) 926-4045

Other identifiers 1

IdentifierTypeStateIssuer
03411305MedicaidNY

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

State licenses

LicenseStateTypeSpecialty
304858NYMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1831461425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 ALBANY POST RD",
            "city": "GARDINER",
            "state": "NY",
            "postal_code": "125255520",
            "telephone_number": "845-926-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 ALBANY POST RD",
            "city": "GARDINER",
            "state": "NY",
            "postal_code": "125255520",
            "telephone_number": "845-926-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINARY",
        "first_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03411305",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardiner, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.