Joseph A. Molitierno Jr., MD

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

2006-01364 Issued in NC

Practice address

3125 Springbank LN
Suite E
Charlotte, NC 28226-3379

Phone

(704) 381-3510

Fax

(704) 540-3668

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Urology Associates

  • Urology Physician
  • Charlotte, NC
  • NPI 1376593061
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1871713859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602148",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602148",
            "telephone_number": "704-381-3510",
            "fax_number": "704-540-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 SPRINGBANK LN",
            "address_2": "SUITE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263379",
            "telephone_number": "704-381-3510",
            "fax_number": "704-540-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLITIERNO",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "NC",
            "license": "2006-01364",
            "primary": true
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "SC",
            "license": "29564",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "201047",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295647",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907391",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9295059",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molecular Microbiology Lab MML Inc
• Anna Marie Molengraft, PA
• Jordan Molina, BCBA
• Lyndsay Marie Molinari, MD
• Hope Elizabeth Molinelli, PA-C
• Dawn Moll, PT
• Matthew Todd Moll, MD
• Michael Mollo
• Ebonique Moment, M.D.
• Momentum Counseling and Consulting LLC

• Pediatric Urology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Pediatric Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.