Individual provider Active NPI

Molore J Resil, FNP

  • Family Nurse Practitioner
  • Brockton, MA
National Provider Identifier
1891239091
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1116129 Issued in MA
Practice address
599 Pleasant St
Brockton, MA 02301-2512
Phone
(508) 894-1126
Fax
(508) 894-1129
NPI assigned
Dec 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F1116129 MA Primary

Addresses

Primary practice location

599 Pleasant St
Brockton, MA 02301-2512

Mailing address

599 Pleasant St
Brockton, MA 02301-2512
Phone (508) 894-1126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180406001846 MA Practitioner - Nurse Practitioner 6800159765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resil Medical Associates PCGroup PAC ID 9830133784, 2 clinicians

Practice addresses (Care Compare)

2110 Dorchester Ave
Suite 205
Dorchester, MA 02124-5699
Phone (617) 298-8304

599 Pleasant St
Brockton, MA 02301-2512
Phone (617) 298-8304

950 American Legion Hwy
Unit 10
Roslindale, MA 02131-4701
Phone (617) 298-8304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F1116129MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Resil Medical Associates PC CurrentSince May 7, 2018 Accepting new patients

Locations

599 Pleasant St
Brockton, MA 02301
Phone (508) 510-0018

2110 Dorchester Ave
Ste 205
Dorchester Center, MA 02124
Phone (617) 298-8304

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1891239091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012512",
            "telephone_number": "508-894-1126",
            "fax_number": "508-894-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023012512",
            "telephone_number": "508-894-1126",
            "fax_number": "508-894-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESIL",
        "first_name": "MOLORE",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "F1116129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.