Deirdra A Molfese, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

010009-01 Issued in NY

Practice address

17 N Plank Rd Ste 10
Newburgh, NY 12550-2111

Phone

(845) 800-9305

Fax

(844) 800-1470

NPI assigned

Dec 16, 2021

Last updated

Dec 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1982363024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W MAIN ST STE 3",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241958",
            "telephone_number": "845-492-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 N PLANK RD STE 10",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502111",
            "telephone_number": "845-800-9305",
            "fax_number": "844-800-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLFESE",
        "first_name": "DEIRDRA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "010009-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siddharth Pulin Modi, M.D.
• Kathleen M Moffit, N.P.
• Syed Moin, M.D.
• Shahrzad Mojazza, PA
• Jennifer Mojica
• Cynthia L Molinary, RN
• Tynirra Mollette, LMSW
• Monarch Children's Connections
• Feliciana Erminia Montalico Juli
• Montefiore Medical Center

• Occupational Therapy Assistant in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.