Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacqueline M. Moline, MD

Individual provider Specialist · NPI 1407835051

Dr. Jacqueline M. Moline, MD is registered under Undefined Physician Type (Specify) in New York, New York. Graduated from University of Chicago, Pritzker School of Medicine in 1988, 38 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
38
Trained at
University of Chicago, Pritzker School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1212 5th Ave Ste 1A
New York, NY 10029-5210 Not confirmed with CMS for 16 years — call before visiting
Phone: (212) 241-5555
Fax: (212) 241-5658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 184671 (NY)

Record details

NPI number1407835051
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 12, 2006
Last updated in NPPESJuly 1, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED PHYSICIAN TYPE (SPECIFY)
Medical schoolUNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Colleagues at North Shore-Lij Medical PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 6350 clinicians in the practice; 12 are shown here.

Other providers in New York