Polina N Kouumdjiev, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

650985 Issued in NY

Practice address

392 Lewis St
West Hempstead, NY 11552-2429

Phone

(516) 589-1857

NPI assigned

Apr 26, 2013

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366934400000",
    "number": "1104260660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 LEWIS ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522429",
            "telephone_number": "516-589-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 LEWIS ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522429",
            "telephone_number": "516-589-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUUMDJIEV",
        "first_name": "POLINA",
        "middle_name": "N",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "650985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Ko
• Konrad Prosthetics and Orthotics, Inc.
• Skyeler Kopper, LMSW
• Lisa Korman, PSYD
• Samantha M Koshy, SLP
• Wendy Kravat
• Aswathy Krishnakumar, PA-C
• Krissy D Enterprise LLC
• Hannah A Kupchik, OTR
• Bat-Sheva Kutner

• Registered Nurse in West Hempstead, NY
• Providers in West Hempstead, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.