Medicare Enrollment Information  Individual Name: MOLLY JOSEPH Individual Specialty: NURSE PRACTITIONER Individual National Provider Identifier (NPI): 1396380077 Individual Provider Transaction Access Number (PTAN): 1Q2511 Group Legal Business Name (LBN): NORMANDY URGENT CARE CENTER PA Group NPI: 1407171077 Group PTAN: 396951 Reassignment Effective Date: MAY 01, 2021