Individual provider Active NPI

Adam M Polak, APRN

  • Nurse Practitioner
  • Margate, FL
National Provider Identifier
1093164659
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN9352395 Issued in FL
Practice address
2801 N State Road 7
Margate, FL 33063-5727
Phone
(954) 978-4100
NPI assigned
Jun 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X RN9352395 FL
Nurse Practitioner 363L00000X APRN9352395 FL Primary

Addresses

Primary practice location

2801 N State Road 7
Margate, FL 33063-5727

Mailing address

2801 N State Road 7
Margate, FL 33063-5727
Phone (954) 978-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161115001579 FL Practitioner - Nurse Practitioner 1951680941 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inphynet Contracting Services LLCGroup PAC ID 7416865811, 169 clinicians

Practice addresses (Care Compare)

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (561) 622-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9352395FLMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Phoenix Emergency Medicine of Broward LLC Current Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Jul 8, 2019 Accepting new patients
Florida Em-I Medical Services, PA Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients
Elite Medical Services at Lakeside LLC CurrentSince Jan 14, 2019 Accepting new patients
Phoenix Emergency Medicine of Broward LLC CurrentSince Jul 8, 2019 Accepting new patients
Inphynet Contracting Services LLC Nurse Practitioner CurrentSince Sep 1, 2017 Accepting new patients
Paragon Contracting Services LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Florida Em-I Medical Services, PA Nurse Practitioner CurrentSince Jan 1, 2025 Accepting new patients

Locations

39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1093164659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N STATE ROAD 7",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635727",
            "telephone_number": "954-978-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N STATE ROAD 7",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635727",
            "telephone_number": "954-978-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAK",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-05",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "RN9352395",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9352395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Margate, FL

Sources for this page

Verify at the official NPI Registry.