Active NPI
Kevin Henry Pollak, M.D.
- Anesthesiology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 25MA06289300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA06289300 | NJ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Care of Long Island PLLC | Current | Accepting new patients | |
| Brooklyn Gastroenterology and Endoscopy PLLC | Current | 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.
-
- Gastroenterology Physician
- Brooklyn, NY
- NPI 1861662991
-
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.