Moly Poulose, NP
Nurse Practitioner, Family in New Milford, New Jersey
1932228939- Practice location
- 880 River RD, New Milford, NJ 07646-3097
- Phone
- 866-389-2727
- Fax
- 201-225-2106
- Last updated
- October 1, 2016
Moly Poulose is a Nurse Practitioner, Family based in New Milford, NJ. Moly Poulose practices in New Milford, NJ and has the professional credentials of NP. The NPI Number for Moly Poulose is 1932228939 and holds a License No. 488126 (NY). The current practice location address for Moly Poulose is 880 River RD, New Milford, NJ 07646-3097 and can be reached out via phone at 866-389-2727 and via fax at 201-225-2106.
Provider Profile Details
- NPI Number
- 1932228939
- Provider Name
- Moly Poulose
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 880 River RD, New Milford, NJ 07646-3097
- Phone Number
- 866-389-2727
- Fax Number
- 201-225-2106
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 29, 2007
- Last Update Date
- October 1, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 880 River RD
New Milford, NJ 07646-3097 - City
- New Milford
- State
- New Jersey
- Zip
- 07646-3097
- Phone Number
- 866-389-2727
- Fax Number
- 201-225-2106
Provider Business Mailing Address Details
- Address
- 880 River RD
New Milford, NJ 07646-3097 - City
- New Milford
- State
- NJ
- Zip
- 07646-3097
- Phone Number
- 866-389-2727
- Fax Number
- 201-225-2106
License Information
- License Number (1)
- 488126
- License State (1)
- NY
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- F333216
- License State (2)
- NY
- Taxonomy (2)
- Nurse Practitioner · 363L00000X
- License Number (3)
- 26NN10644300
- License State (3)
- NJ
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X · Primary
- License Number (4)
- 26NO10644300
- License State (4)
- NJ
- Taxonomy (4)
- Registered Nurse · 163W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Moly Poulose, NP?
The NPI number of Moly Poulose, NP is 1932228939. It was assigned on March 29, 2007 and is currently active in the NPPES registry.
What is the specialty of Moly Poulose, NP?
Moly Poulose, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 488126.
Where does Moly Poulose, NP practice?
The practice location is 880 River RD, New Milford, NJ 07646-3097. The office can be reached at 866-389-2727 (phone) or 201-225-2106 (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 1932228939 directly on the NPPES registry website.