Individual provider Active NPI

Richard Minc Poniarski, M.D.

  • Psychiatry Physician
  • Westbury, NY
National Provider Identifier
1174605703
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
185073 Issued in NY
Practice address
1966 Valentines Rd
Westbury, NY 11590-5840
Phone
(516) 876-8451
NPI assigned
Oct 20, 2006
Last updated
Mar 18, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 185073 NY Primary

Addresses

Primary practice location

1966 Valentines Rd
Westbury, NY 11590-5840

Mailing address

1966 Valentines Rd
Westbury, NY 11590-5840
Phone (516) 876-8451

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
I20101110001333 NY Practitioner - Psychiatry 3375738735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Charles Evans Center, Inc.Group PAC ID 1759695992, 17 clinicians

Practice addresses (Care Compare)

113 Glen Cove Ave
Glen Cove, NY 11542-3438
Phone (516) 622-8888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Evans Center, Inc CurrentSince Mar 9, 2020 Accepting new patients
Charles Evans Center, Inc. Current Accepting new patients
Oceanside Counseling Center,Inc PastSince Dec 19, 2023 Accepting new patients

Locations

857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888

113 Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 622-8888

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1174605703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1966 VALENTINES RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905840",
            "telephone_number": "516-876-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1966 VALENTINES RD",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905840",
            "telephone_number": "516-876-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONIARSKI",
        "first_name": "RICHARD",
        "middle_name": "MINC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "185073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.