MOLLY SHOTTS (NPI# 1376103895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376103895 |
| Entity Type | Individual |
| Full Name | MOLLY SHOTTS |
| Credential | PA |
| Practice Address |
1414 Newkirk Ave Brooklyn NY 11226-6599 |
| Practice Telephone | 7187596100 |
| Practice Fax Number | 7184340070 |
| Mailing Telephone | 7187596100 |
| Mailing Fax Number | 7184340070 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1414 NEWKIRK AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11226-6599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332714 | Universal Diagnostic Laboratories, Inc. | Clinical Medical Laboratory | 1414 Newkirk Ave, Brooklyn, NY 11226-6522 | 2005-08-09 |
| 1811523186 | Charlene Grant | Nurse Practitioner | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2020-03-19 |
| 1780216432 | Jeffrey Massaro | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2020-02-11 |
| 1245892256 | Tetyana Gorodetskaya | Physical Therapy Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2019-07-01 |
| 1851950471 | Lauren Danielle Buchwald | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2019-06-07 |
| 1508375718 | Olfat Khader Doleh | Nurse Practitioner | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2017-09-20 |
| 1457804353 | Katherine Migliore | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2016-07-27 |
| 1093179285 | David Mandil | Podiatrist | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2016-04-13 |
| 1033531504 | Lauren Elizabeth Roop | Physician Assistant | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2014-01-17 |
| 1083050785 | Jacob Robert Peacock | Physical Medicine & Rehabilitation | 1414 Newkirk Ave, Brooklyn, NY 11226-6599 | 2013-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1528691698 | Lu Ding | Social Worker | 2417 Albemarle Road, Unit 10d, Brooklyn, NY 11226 | 2020-02-18 |
| 1073089348 | Tiina Treasure | Social Worker | 2414 Church Ave, Brooklyn, NY 11226 | 2018-10-15 |
| 1508344490 | Natasha Samantha Hescott | Dietitian, Registered | 261 Lenox Rd Apt 6a, Brooklyn, NY 11226 | 2018-08-01 |
| 1265921977 | Janice Tom-george | Social Worker | 1818 Newkirk Ave Apt 4m, Brooklyn, NY 11226 | 2018-05-08 |
| 1336641299 | Millennia Ruth Lytle | Nutritionist | 135 Clarkson Ave, F8, Brooklyn, NY 11226 | 2018-03-06 |
| 1619495991 | Cassandra Wong | Physician Assistant | 163 Veronica Pl Apt 1r, Brooklyn, NY 11226 | 2017-09-06 |
| 1164940128 | Nz Pharmacy Inc | Pharmacy | 1296 Nostrand Ave, Brooklyn, NY 11226 | 2017-08-30 |
| 1497282412 | Shella St Ima | Licensed Practical Nurse | 45 E 25th St Fl 1, Brooklyn, NY 11226 | 2017-05-22 |
| 1174068209 | Tracey-ann Treadwell | Registered Nurse | 448 East 26th St., Apt 8, Brooklyn, NY 11226 | 2016-12-28 |
| Find all providers in zip 11226 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| 1376142737 | Amanda Shinall | Physician Assistant | 28 Old Fulton St Apt 4b, Brooklyn, NY 11201-6909 | 2020-10-18 |
| 1497353825 | Tsz Yan Soo | Physician Assistant | 8825 26th Ave Fl 2, Brooklyn, NY 11214-5408 | 2020-10-16 |
| 1164038907 | Emily Mai | Physician Assistant | 1956 W 9th St, Brooklyn, NY 11223-2548 | 2020-09-17 |
| 1497369342 | Krystal Renee Alexander | Physician Assistant | 2225 Ditmas Ave Apt 1a, Brooklyn, NY 11226-6993 | 2020-09-08 |
| 1578177390 | Celia Chen | Physician Assistant | 2628 E 18th St, Brooklyn, NY 11235-3659 | 2020-08-31 |
| 1669084547 | Peter Forman | Physician Assistant | 86 Saint Felix St, Brooklyn, NY 11217-3032 | 2020-08-20 |
| 1699383646 | Fabienne Mondelus | Physician Assistant | 715 E 108th St Apt 3c, Brooklyn, NY 11236-2929 | 2020-07-15 |
| 1508492729 | Esther Weitzner | Physician Assistant | 1195 E 12th St, Brooklyn, NY 11230-4811 | 2020-03-19 |
| Find all providers in BROOKLYN | ||||
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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.