Michael C Poliseno, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F302312-1 Issued in NY

Practice address

2094 Merrick Ave
Merrick, NY 11566-3147

Phone

(516) 375-5904

Fax

(516) 804-2784

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1073632956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663147",
            "telephone_number": "516-375-5904",
            "fax_number": "516-804-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663147",
            "telephone_number": "516-375-5904",
            "fax_number": "516-804-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLISENO",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F302312-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anatoly Pikman, OTR/L
• Gillian Pipia, LCSW
• Barbara Pirnat
• Jane Plafker, OTR/L
• Martin Leonard Plutno, DC
• Polished Dental Care, PLLC
• Roseanne Prehoda, M.A. CCC-SLP
• Premier Medical Sports and Rehabilitation
• Professional Occupational & Physical Therapy, PLLC
• Professional Occupational & Physical Therapy, PLLC

• Family Nurse Practitioner in Merrick, NY
• Providers in Merrick, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.