Michael Poliseno Family Health Nurse Practitioner PC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F333205 Issued in NY

Legal business name

MICHAEL POLISENO FAMILY HEALTH NURSE PRACTITIONER PC

Practice address

2094 Merrick Ave
Merrick, NY 11566-3147

Phone

(516) 375-5904

Fax

(516) 804-2784

NPI assigned

Sep 29, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Michael Poliseno, FNP

Title

President

Phone

(516) 375-5904

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Doris Gomez, NP

  • Adult Health Nurse Practitioner
  • Westbury, NY
  • NPI 1699862151
  NPD (past)

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1184958712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663147",
            "telephone_number": "516-375-5904",
            "fax_number": "516-804-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663147",
            "telephone_number": "516-375-5904",
            "fax_number": "516-804-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL POLISENO FAMILY HEALTH NURSE PRACTITIONER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "POLISENO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-375-5904",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A100021981",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyson Michelle Mescolotto, DPT
• Andrea L Messinger, MSW
• Christina Metz-Crowley, LMSW
• Kathleen M Meyer
• Michael Maher Dietetics
• Michael V. Belfiore DO PC (belfiore preventative medicine & aesthetics)
• Evan M Michaels, LCSW
• Michele Floria
• Francine Mignano, MPT, CCS
• Tara Dawn Miguel, LCSW

• Family Nurse Practitioner in Merrick, NY
• Providers in Merrick, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.