Active NPIIndividual provider

Dr. Jonathan R Moldover, MD

Physical Medicine & Rehabilitation in Longmeadow, Massachusetts

NPI Number1043215841
Practice location
21 Dwight Road, Ste 104, Longmeadow, MA 01106
Fax
413-794-2733
Last updated
December 26, 2018

Jonathan R Moldover is a Physical Medicine & Rehabilitation based in Longmeadow, MA. Jonathan R Moldover practices in Longmeadow, MA and has the professional credentials of MD. The NPI Number for Jonathan R Moldover is 1043215841 and holds a License No. 262755 (MA). The current practice location address for Jonathan R Moldover is 21 Dwight Road, Ste 104, Longmeadow, MA 01106 and can be reached out via phone at 413-794-5600 and via fax at 413-794-2733.

Provider Profile Details

NPI Number
1043215841
Provider Name
Jonathan R Moldover
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
21 Dwight Road, Ste 104, Longmeadow, MA 01106
Phone Number
413-794-5600
Fax Number
413-794-2733
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
No
Provider Enumeration Date
June 17, 2005
Last Update Date
December 26, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Dwight Road
Ste 104
Longmeadow, MA 01106
Zip
01106
Phone Number
413-794-5600
Fax Number
413-794-2733
Longmeadow, MA 01106Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut St
2ND Floor
Springfield, MA 01199-1001
City
Springfield
State
MA
Zip
01199-1001
Phone Number
413-794-5700

License Information

License Number (1)
262755
License State (1)
MA
License Number (2)
262755
License State (2)
MA
Taxonomy (2)
Physical Medicine & Rehabilitation · 208100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jonathan R Moldover, MD?

The NPI number of Dr. Jonathan R Moldover, MD is 1043215841. It was assigned on June 17, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Jonathan R Moldover, MD?

Dr. Jonathan R Moldover, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in MA under license number 262755.

Where does Dr. Jonathan R Moldover, MD practice?

The practice location is 21 Dwight Road, Ste 104, Longmeadow, MA 01106. The office can be reached at 413-794-5600 (phone) or 413-794-2733 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043215841 directly on the NPPES registry website.

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