Rosanna Pollack, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

TP004579N Issued in PA

Practice address

3401 Civic Center Blvd
4TH Floor Wood Building
Philadelphia, PA 19104-4302

Phone

(215) 590-4953

NPI assigned

Aug 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184637217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HUCKLEBERRY WAY",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080125816",
            "telephone_number": "856-290-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "address_2": "4TH FLOOR WOOD BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044302",
            "telephone_number": "215-590-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "ROSANNA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "PA",
            "license": "TP004579N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Stanley Poll, M.D.
• Hernan Pollacchi, MD
• Mallory Pollack, OTD, OTR/L
• Marc L. Pollack, M.D.
• Pia S. Pollack, M.D.
• Eleanor Pollak, MD
• Elizabeth Pollak, LCSW
• Natasha Pollak, MD
• Sharon Pollak, MSS LSW
• Carla Renee Pollard, SP036611

• Pediatric Nurse Practitioner in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Pediatric Nurse Practitioner in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.