Individual
DR. THOMAS J MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31-00 BROADWAY, FAIR LAWN, NJ 07410-3963
(201) 796-2255
(201) 796-7020
Mailing address
31-00 BROADWAY, FAIR LAWN, NJ 07410-3963
(201) 796-2255
(201) 796-3711
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA05901100
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA05901100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01176681
NEW YORK MEDICAID ID
NY
05
—
6225705
—
NJ
Enumeration date
01/03/2007
Last updated
02/18/2026
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