JONATHAN R MOLDOVER MD LLC (NPI# 1164616603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164616603 |
Entity Type | Organization |
Organization Name | JONATHAN R MOLDOVER MD LLC |
Practice Address |
200 W 57th St Suite 608 New York NY 10019-3211 |
Practice Telephone | 2125814488 |
Mailing Telephone | 2125814488 |
Enumeration Date | 2007-08-28 |
Last Update Date | 2007-10-05 |
Authorized Official Name | DR. JONATHAN MOLDOVER (DOCTOR) |
Authorized Official Telephone | 2125814488 |
Authorized Official Credential | M.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
Street Address |
200 W 57TH ST SUITE 608 |
City | NEW YORK |
State | NY |
Zip Code | 10019-3211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033112974 | Dominick Servedio | Audiologist | 200 W 57th St, Suite 910, New York, NY 10019-3211 | 2005-05-24 |
1619484706 | Monica Harilall | Physician Assistant | 200 W 57th St, New York, NY 10019-3211 | 2018-01-10 |
1255886198 | Jessica Berarducci | Nurse Practitioner | 200 W 57th St, Suite 200, New York, NY 10019-3211 | 2016-08-21 |
1033662473 | Asya Gutman | Physician Assistant | 200 W 57th St, Suite 608, New York, NY 10019-3211 | 2016-08-02 |
1730532557 | Life & Loss Mental Health Counseling, LLC | Counselor | 200 W 57th St, Suite 1310, New York, NY 10019-3211 | 2016-07-16 |
1801258413 | Dermatology Laser Group, Pllc. | Specialist | 200 W 57th St, Suite 510, New York, NY 10019-3211 | 2016-03-23 |
1801260682 | Hapworth Psychiatric Medical Pllc | Psychiatry & Neurology | 200 W 57th St, Suite 502, New York, NY 10019-3211 | 2015-11-17 |
1316319916 | Benjamin Hamburger | Psychologist | 200 W 57th St, 603, New York, NY 10019-3211 | 2015-10-22 |
1558732495 | New York Pain Consultants, LLC | Physical Medicine & Rehabilitation | 200 W 57th St, Suite 608, New York, NY 10019-3211 | 2015-10-19 |
1033580220 | Carnegie Oral & Maxillofacial Surgery, Pllc | Clinic/Center | 200 W 57th St, Suite 804, New York, NY 10019-3211 | 2015-10-13 |
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---|---|---|---|---|
1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
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Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
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1356891766 | Centurion Pain Management | Clinic/Center | 601 W 163rd St, New York, NY 10032-5632 | 2016-10-10 |
1669906061 | Vasilios Kountis Do, Pllc | Clinic/Center | 1317 3rd Ave Fl 7, New York, NY 10021-2957 | 2017-04-12 |
1629427695 | Donghwan's Acu and Herb Inc | Clinic/Center | 1841 Broadway, Suite 505, New York, NY 10023-7603 | 2016-06-09 |
1346631579 | Dr Marina Feldman Md PC | Clinic/Center | 930 Saint Nicholas Ave Apt 57, New York, NY 10032-5253 | 2015-02-10 |
1184028508 | Metropolitan Anesthesia Services | Clinic/Center | 124 E 40th St, Suite 402, New York, NY 10016-1723 | 2014-10-14 |
1942613179 | Nyu Medical Center | Clinic/Center | 333 E 38th St, 6th Floor, New York, NY 10016-2772 | 2014-06-05 |
1639418858 | Hudson Spine and Pain Medicine, P.C. | Clinic/Center | 281 Broadway, 2nd Floor, New York, NY 10007-1831 | 2013-02-07 |
1427368281 | Ddm Medical, PC | Clinic/Center | 122 E 42nd St, Suite 2901, New York, NY 10168-0002 | 2010-10-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.