Active NPI
Cynthia Poletsky, R.N.
- School Registered Nurse
- Port Chester, NY
National Provider Identifier
1013291533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 315835-1
- Practice address
- 1 Tamarack Rd
Port Chester, NY 10573-2407 - Phone
- (914) 934-7967
- NPI assigned
- Oct 3, 2011
- Last updated
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 315835-1 | NY | Primary |
Addresses
Primary practice location
1 Tamarack Rd
Port Chester, NY 10573-2407
Mailing address
1 Tamarack Rd
Port Chester, NY 10573-2407
Phone (914) 934-7967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 315835-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1013291533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TAMARACK RD",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105732407",
"telephone_number": "914-934-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TAMARACK RD",
"city": "PORT CHESTER",
"state": "NY",
"postal_code": "105732407",
"telephone_number": "914-934-7967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLETSKY",
"first_name": "CYNTHIA",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "315835-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Chester, NY
- Rafael D Pereira, MD
- Christopher Petrowski, LMT
- Carla Pileggi Caviola
- Christian Pisco-Esteva, DNP, CPNP-PC
- Carly Erin Plymel, CPNP-PC
- Angel Bautista Polimeni, MD
- Port Chester Carver Center Inc
- Port Chester Eyecare Inc
- Port Chester Operating LLC (Port Chester Nursing & Rehab Center)
- Port Chester-Rye-Rye Brook Emergency Medical Services Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.