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NATHAN DUDLEY MOLINA M.D.
NPI 1477084697
Surgery - Plastic and Reconstructive Surgery in Brooklyn, NY

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
300 KENT AVE STE 605, BROOKLYN, NY 11249(718) 208-4577 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 31, 2023, Mar 23, 2017 (2 updates tracked since 2017).

About Nathan Dudley Molina M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN DUDLEY MOLINA M.D. (NPI 1477084697) is an individual plastic and reconstructive surgery provider in Brooklyn, New York, licensed in New York (316849) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2017).

NPPES Registry Identity

NPI1477084697
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameNATHAN DUDLEY MOLINACredential: M.D.
Location Address300 KENT AVE STE 605Brooklyn, NY 11249-4357
Mailing Address300 Kent Ave Ste 605Brooklyn, NY 11249-4357 · (718) 208-4577
Phone(718) 208-4577
Sole ProprietorYes
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateApril 25, 20252 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
✔ NPI 1477084697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in NY · 316849
Definition
A surgeon who specializes in plastic and reconstructive surgery.
300 KENT AVE STE 605, Brooklyn, NY 11249
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathan Dudley Molina M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688910680
PECOS Enrollment IDI20230912000668
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Nathan Molina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interfaith Professional Physician Services, P.C.
3.0 mi
Surgery
1545 ATLANTIC AVENUE, FACULTY PRACTICE
Brooklyn, NY 11213
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Interfaith Professional Physician Services PC
  • 635 clinicians in this Medicare group
NPI 1457643991 (718) 240-8352
Brookdale Hospital Medical Center
4.1 mi
General Acute Care Hospital
1 BROOKDALE PLZ STE 666
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1720028772 (718) 240-8352

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Molina's NPI number?

The NPI number for Nathan Molina is 1477084697. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Nathan Molina located?

Nathan Molina practices at 300 Kent Ave Ste 605, Brooklyn, NY 11249. The listed phone number is (718) 208-4577.

What is Nathan Molina's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Nathan Molina enrolled in Medicare?

Yes. Nathan Molina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nathan Molina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Molina reassigns Medicare benefits to 2 organizations: Interfaith Professional Physician Services, P.C. (Brooklyn, NY) and Brookdale Hospital Medical Center (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Molina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nathan Molina was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.