Individual provider Active NPI

Jose M Molinar, M.D.

  • Family Medicine Physician
  • Cambridge, MA
National Provider Identifier
1982799714
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
79365 Issued in MA
Practice address
355 Main St FL 2
Cambridge, MA 02142-1062
Phone
(617) 453-3005
Fax
(617) 649-8535
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 79365 MA
Family Medicine Physician 207Q00000X 79365 MA Primary

Addresses

Primary practice location

355 Main St FL 2
Cambridge, MA 02142-1062

Mailing address

355 Main St FL 2
Cambridge, MA 02142-1062
Phone (617) 453-3005

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060505000145 MA Practitioner - Family Practice 4789695792 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Jun 15, 2020 Accepting new patients
Edward M. Kennedy Community Health Center, Inc CurrentSince Jun 15, 2020 Accepting new patients
Premise Health of Massachusetts, Medical PC CurrentSince Jul 21, 2024 Accepting new patients

Locations

355 Main St
Fl 2
Cambridge, MA 02142
Phone (617) 453-3005

354 Waverley St
Framingham, MA 01702
Phone (508) 270-5700

650 Lincoln St
Worcester, MA 01605
Phone (508) 532-7318

19 Tacoma St
Worcester, MA 01605
Phone (508) 854-2122

Organizations & group practices 3

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1982799714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 MAIN ST FL 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421062",
            "telephone_number": "617-453-3005",
            "fax_number": "617-649-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 MAIN ST FL 2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421062",
            "telephone_number": "617-453-3005",
            "fax_number": "617-649-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINAR",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MA",
            "license": "79365",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "79365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.