Molecular Neuroimaging, LLC

Primary specialty

Diagnostic Neuroimaging (Psychiatry & Neurology) PhysicianTaxonomy code 2084D0003X

Legal business name

MOLECULAR NEUROIMAGING, LLC

Practice address

60 Temple St
#8A
New Haven, CT 06510-2716

Phone

(203) 401-4300

Fax

(203) 401-4304

NPI assigned

Feb 10, 2010

Organization subpart

No

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

Authorized official

Name

Jack Mariotti

Title

Chief Financial Officer

Phone

(203) 431-4351

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Peter Seibyl, M.D.

  • Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
  • New Haven, CT
  • NPI 1972719011
  NPD (past)

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1841522281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TEMPLE ST",
            "address_2": "#8A",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102716",
            "telephone_number": "203-401-4300",
            "fax_number": "203-401-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TEMPLE ST",
            "address_2": "#8A",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102716",
            "telephone_number": "203-401-4300",
            "fax_number": "203-401-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAR NEUROIMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "MARIOTTI",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-431-4351"
    },
    "taxonomies": [
        {
            "code": "2084D0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Mojarrad Sani
• Hamid Reza Mojibian, MD
• Darniel Mojica
• Prashanth Moku, MD
• Susan Molde, APRN
• Dennis Moledina, MBBS
• Jonathan Andres Molina Cifuentes, MD
• Fabiola Molina, MD
• Jennifer Alissa Moliterno Gunel, MD
• Beth A. Moller, APRN

• Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Diagnostic Neuroimaging (Psychiatry & Neurology) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.