JONATHAN R MOLDOVER MD LLC NPI 1164616603

NPI Information

NPI: 1164616603
Provider Name: JONATHAN R MOLDOVER MD LLC
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
200 W 57TH ST
SUITE 608
NEW YORK, NY
ZIP 10019
Phone: (212) 581-4488
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JONATHAN R MOLDOVER MD LLC is a pain clinic center in New York, NY. JONATHAN R MOLDOVER MD LLC NPI is 1164616603. The provider is registered as an organization entity type.

The provider's business location address is:

200 W 57TH ST
SUITE 608
NEW YORK, NY
ZIP 10019-211
Phone: (212) 581-4488

The provider's authorized official is Jonathan Moldover .
The authorized official title is Doctor and has the following contact phone number (212) 581-4488.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 10/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP3300X	Clinic/Center	Pain			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	WEK521	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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