Individual provider Active NPI

Kevin Henry Pollak, M.D.

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1104979178
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA06289300 Issued in NJ
Practice address
38 W 32ND St
Suite 1200
New York, NY 10001-3816
Phone
(800) 673-5766
Fax
(800) 843-1778
NPI assigned
Jan 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA06289300 NJ Primary

Addresses

Primary practice location

38 W 32ND St
Suite 1200
New York, NY 10001-3816

Mailing address

18 Meadow LN
Lansdale
Lansdale, PA 19446-1232
Phone (215) 412-7650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150106001346 NY Practitioner - Anesthesiology 3577656172 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06289300NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Care of Long Island PLLC CurrentSince Jan 12, 2024 Accepting new patients
Brooklyn Gastroenterology and Endoscopy PLLC CurrentSince Jan 1, 2009 Accepting new patients

Locations

3765 Riverdale Ave
Ste 7
Bronx, NY 10463
Phone (718) 543-3636

801 Avenue N
Brooklyn, NY 11230
Phone (718) 627-6800

33 N Ocean Ave
Freeport, NY 11520
Phone (516) 378-4949

55 N Main St
Freeport, NY 11520
Phone (516) 352-8300

233 E Shore Rd
Ste 101
Great Neck, NY 11023
Phone (516) 480-2444

29 Jericho Tpke
#A
Jericho, NY 11753
Phone (516) 785-6800

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

500 New Hempstead Rd
Ste 7
New City, NY 10956

500 New Hempstead Rd
Ste A
New City, NY 10956
Phone (845) 362-3200

5030 Broadway
New York, NY 10034
Phone (212) 567-9800

974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700

2000 N Village Ave
Ste 411
Rockville Ctr, NY 11570
Phone (516) 593-4451

136 Sagamore Rd
Tuckahoe, NY 10707
Phone (914) 337-6400

20 W Lincoln Ave
Ste 7
Valley Stream, NY 11580

2155 Wantagh Ave
Wantagh, NY 11793
Phone (516) 221-6500

1488 Wantagh Ave
Wantagh, NY 11793
Phone (516) 785-1203

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

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": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104979178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MEADOW LN",
            "address_2": "LANSDALE",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461232",
            "telephone_number": "215-412-7650",
            "fax_number": "215-412-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 W 32ND ST",
            "address_2": "SUITE 1200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013816",
            "telephone_number": "800-673-5766",
            "fax_number": "800-843-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAK",
        "first_name": "KEVIN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA06289300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.