Individual provider Active NPI

Brittany M Molinar, PA-C

  • Surgical Physician Assistant
  • Bay Shore, NY
National Provider Identifier
1972099422
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA60870359 Issued in WA
Practice address
46 Brentwood Rd
Bay Shore, NY 11706-6924
Phone
(631) 647-3800
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA60870359 WA Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

46 Brentwood Rd
Bay Shore, NY 11706-6924

Mailing address

46 Brentwood Rd
Bay Shore, NY 11706-6924
Phone (631) 647-3800

Other practice location 1

7320 216th St SW Ste 320
Edmonds, WA 98026
Phone (425) 673-3900

Other practice location 2

1025 153rd St SE Ste 200
Mill Creek, WA 98012-4051
Phone (425) 673-3900

Other practice location 3

1410 Lombardy Blvd
Bay Shore, NY 11706-4038
Phone (631) 383-3930

Other identifiers 1

IdentifierTypeStateIssuer
2110725MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201019002219 NY Practitioner - Physician Assistant 3274871819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

200 E Main St
Babylon, NY 11702-3510

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

46 Brentwood Rd
Bay Shore, NY 11706-6924
Phone (631) 587-1800

Hospital & facility affiliations

  • NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
024877NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Jun 14, 2022 Accepting new patients
Medical Services of Kips Bay PC Past Accepting new patients

Locations

46 Brentwood Rd
Fl 1
Bay Shore, NY 11706

46 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 206-1384

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: bsilipo70053@northwell.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1972099422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066924",
            "telephone_number": "631-647-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BRENTWOOD RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066924",
            "telephone_number": "631-647-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7320 216th St SW Ste 320",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "98026",
            "country_code": "US",
            "telephone_number": "425-673-3900",
            "fax_number": "425-673-3910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 153rd St SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mill Creek",
            "state": "WA",
            "postal_code": "980124051",
            "country_code": "US",
            "telephone_number": "425-673-3900",
            "fax_number": "425-373-3910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 Lombardy Blvd",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117064038",
            "country_code": "US",
            "telephone_number": "631-383-3930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINAR",
        "first_name": "BRITTANY",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60870359",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2110725",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.