Dean C Polistina MD PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

193200 Issued in NY

Legal business name

DEAN C POLISTINA MD PLLC

Practice address

200 W 57TH St
Suite 1410
New York, NY 10019-3211

Phone

(212) 957-6933

Fax

(212) 957-3477

NPI assigned

Feb 23, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Dean C Polistina, MD

Title

Sole Member

Phone

(212) 957-6933

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1104190065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUITE 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "212-957-6933",
            "fax_number": "212-957-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUITE 1410",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "212-957-6933",
            "fax_number": "212-957-3477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN C POLISTINA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-23",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "POLISTINA",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "212-957-6933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "193200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5598510",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P535102",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01636277",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "06416",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "PRIS 31763P",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Deakin, LMFT
• Joshua Lawson Deal
• Stefon Deallie, AGACNP-BC, ACNP, RN
• Chrystianne Dealmeida, PH.D.
• Emma Dealy
• Dean G. Lorich, M.D. PC
• Dean McArthur Fulton LLC
• Jackson Dean-Brown, PA-C
• Heather Dean-Drummond, MA LP
• Adrian L Dean, RN

• Ophthalmology Physician in New York, NY
• Providers in New York, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.