AMANDA R MOLLOY (NPI# 1215598487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215598487 |
| Entity Type | Individual |
| Full Name | AMANDA R MOLLOY |
| Credential | FNP |
| Practice Address |
256 Mason Ave Staten Island NY 10305-3408 |
| Mailing Address |
256 Mason Ave # C Staten Island NY 10305-3408 |
| Practice Telephone | 7182266400 |
| Mailing Telephone | 7182266400 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 657473-1 | NY | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
344020 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363491 | Amanda Molloy | Dental Hygienist | 1600 N Missouri Ave, Marceline, MO 64658-1012 | 2020-10-13 |
| 1861975948 | Amanda Tomeo Molloy | Physical Therapist | 321 Hoitt St, San Diego, CA 92102-3132 | 2018-09-13 |
| Street Address |
256 MASON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154313542 | Qun Dai | Internal Medicine | 256 Mason Ave, Staten Island, NY 10305-3408 | 2005-08-22 |
| 1588103188 | A Personal Touch Garment Corporation | Durable Medical Equipment & Medical Supplies | 256 Mason Ave, 2nd Floor, Building B, Staten Island, NY 10305-3408 | 2017-02-15 |
| 1043689524 | Kathleen Del Duca | Speech-Language Pathologist | 256 Mason Ave, Building C, Staten Island, NY 10305-3408 | 2015-09-15 |
| 1053658815 | Laura Frances Longo | Nurse Practitioner | 256 Mason Ave, Staten Island, NY 10305-3408 | 2013-01-13 |
| 1558655365 | Jessica L De Petro | Genetic Counselor, MS | 256 Mason Ave, Building B, 2nd Floor, Staten Island, NY 10305-3408 | 2011-06-09 |
| 1588965826 | Betty Marie Constant | Nurse Practitioner | 256 Mason Ave, Building C, Staten Island, NY 10305-3408 | 2010-11-03 |
| 1568772861 | Michelle Marie Vanpelt | Registered Nurse | 256 Mason Ave, Staten Island, NY 10305-3408 | 2010-10-20 |
| 1023342003 | Laura Polito | Physician Assistant | 256 Mason Ave, Building B- 2nd Floor, Staten Island, NY 10305-3408 | 2009-09-24 |
| 1588998850 | John Afthinos | Surgery | 256 Mason Ave, Bldg B, Staten Island, NY 10305-3408 | 2009-09-19 |
| 1053546838 | Maria Domante | Physician Assistant | 256 Mason Ave, Building C, Staten Island, NY 10305-3408 | 2009-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1215540638 | Shanna Hinckson | Nurse Practitioner | 53 Tillman St, Staten Island, NY 10314-5680 | 2020-08-25 |
| 1104438548 | Amanda Power | Nurse Practitioner | 64 Lovell Ave, Staten Island, NY 10314-4969 | 2020-08-18 |
| 1497367817 | Darya Olekhnovich | Nurse Practitioner | 25 Navesink Pl, Staten Island, NY 10306-5622 | 2020-08-18 |
| 1194335372 | Kimberly Sage | Nurse Practitioner | 36 Carly Ct, Staten Island, NY 10309-2735 | 2020-08-03 |
| 1932718855 | Christine Louise Lutrario | Nurse Practitioner | 293 Edinboro Rd, Staten Island, NY 10306-1204 | 2020-07-27 |
| 1447877592 | Mirena Khaimova | Nurse Practitioner | 302 Getz Ave, Staten Island, NY 10312-2433 | 2020-07-05 |
| 1063039220 | Hima Girish | Nurse Practitioner | 64 Galloway Ave, Staten Island, NY 10302-2528 | 2020-07-02 |
| 1245854314 | Desiree Joy Ambrosio | Nurse Practitioner | 45 Burnside Ave, Staten Island, NY 10302-2302 | 2020-06-03 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
Please comment or provide details below to improve the information on AMANDA R MOLLOY.
| 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.