Individual provider Active NPI

Polina Shalshina

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1083976724
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
2475 W 16TH St
Apt 12D
Brooklyn, NY 11214-7040
Phone
(718) 207-3510
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

2475 W 16TH St
Apt 12D
Brooklyn, NY 11214-7040

Mailing address

2475 W 16TH St
Apt 12D
Brooklyn, NY 11214-7040
Phone (718) 207-3510

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

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1083976724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 W 16TH ST",
            "address_2": "APT 12D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112147040",
            "telephone_number": "718-207-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 W 16TH ST",
            "address_2": "APT 12D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112147040",
            "telephone_number": "718-207-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALSHINA",
        "first_name": "POLINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.