MOLY POULOSE NP
NPI 1932228939
Nurse Practitioner - Family in New Milford, NJ

Q: What is Moly Poulose's NPI number?

The NPI number for Moly Poulose is 1932228939. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is Moly Poulose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Moly Poulose was last updated on October 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.

Active since March 29, 2007

86.42/100

CMS Quality Rating

880 RIVER RD, NEW MILFORD, NJ 07646(866) 389-2727(201) 225-2106 Get Directions Write a Review

NPPES record last updated: October 1, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Moly Poulose Np NPPES

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

MOLY POULOSE NP (NPI 1932228939) is an individual family provider in New Milford, New Jersey, licensed in New Jersey (26NN10644300) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1932228939

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMOLY POULOSECredential: NP

Location Address880 RIVER RDNew Milford, NJ 07646-3097

Mailing Address880 River RdNew Milford, NJ 07646-3097 · (866) 389-2727 · Fax (201) 225-2106

Phone(866) 389-2727

Fax(201) 225-2106

Sole ProprietorNo

Enumeration DateMarch 29, 2007

Last NPPES UpdateOctober 1, 2016

✔ NPI 1932228939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NN10644300

Also ListedRegistered NurseTaxonomy 163W00000X · License 26NO10644300 (NJ), 488126 (NY)

Also ListedNurse PractitionerTaxonomy 363L00000X · License F333216 (NY)

880 RIVER RD, New Milford, NJ 07646

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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.42/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.04

Promoting Interoperability

Improvement Activities

Cost

91.69

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW JERSEY CVS PHARMACY LLC

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