NPIMap

Organization Active NPI

Bruce Molinelli MD LLC

  • Surgery Physician
  • Cos Cob, CT
National Provider Identifier
1861816290
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BRUCE MOLINELLI MD LLC
Practice address
31 River Rd
Suite 102
Cos Cob, CT 06807-2152
Phone
(203) 742-1173
Fax
(203) 489-3411
NPI assigned
Feb 5, 2014
Last updated
Feb 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Dr. Bruce Molinelli, M.D.NPI 1083788202
Title
President
Phone
(203) 742-1173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X CT Primary

Addresses

Primary practice location

31 River Rd
Suite 102
Cos Cob, CT 06807-2152

Mailing address

31 River Rd
Suite 102
Cos Cob, CT 06807-2152
Phone (203) 742-1173

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1861816290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 RIVER RD",
            "address_2": "SUITE 102",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072152",
            "telephone_number": "203-742-1173",
            "fax_number": "203-489-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 RIVER RD",
            "address_2": "SUITE 102",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072152",
            "telephone_number": "203-742-1173",
            "fax_number": "203-489-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE MOLINELLI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "MOLINELLI",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-742-1173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cos Cob, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.