Polaris Care Medical PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

POLARIS CARE MEDICAL PC

Practice address

824 55TH St Ste 1
Brooklyn, NY 11220-3245

Phone

(718) 435-1025

NPI assigned

May 22, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Che Liu, MDNPI 1013379791

Title

President

Phone

(646) 409-2508

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Che Liu, MD

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1013379791
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701475200000",
    "number": "1003554999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 FLAGG CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103041157",
            "telephone_number": "646-409-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 55TH ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203245",
            "telephone_number": "718-435-1025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13668 Roosevelt Ave Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545510",
            "country_code": "US",
            "telephone_number": "718-435-1025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POLARIS CARE MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-22",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "CHE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-409-2508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICINE AND SURGERY LICENSE",
            "identifier": "309005",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tadina Nahiatty Polanco, MD
• Yentl Polanco, LCSW
• Andrea R Polans, PH.D
• Miroslaw Adam Polanski, D.C.
• Philip Polansky, PA
• Nesibe Polat
• Garen Polatoglu, M.D.
• Yisoscher Polatsek
• Rebecca Ann Poleshuck, FNP
• Sarah Poleshuck, CCC-SLP

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.