Max Ricardo Pommier Jr., D.O.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

275020 Issued in NY

Practice address

340 Howells Rd Ste a
Bay Shore, NY 11706-5322

Phone

(631) 666-2864

NPI assigned

Jun 14, 2011

Sex

Male

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

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

Specialty

NephrologyAlso: Internal Medicine

Education

New York College of Osteo Medicine of New York Institute of Technology, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suffolk Nephrology Associates, PCGroup PAC ID 7416023437, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC Deer Park Dialysis Dialysis facility, North Babylon, NY, CCN 332841
• DaVita Grand Boulevard Dialysis Dialysis facility, Deer Park, NY, CCN 332808
• DaVita Long Island Renal Care Dialysis facility, Amityville, NY, CCN 332670
• Fresenius Kidney Care - Bay Shore Dialysis facility, Bay Shore, NY, CCN 332721
• DaVita East Islip Dialysis Dialysis facility, East Islip, NY, CCN 332752
• Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
• NS/Lij HS Southside Hospital Hospital, Bay Shore, NY, CCN 330043

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

90.35

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Suffolk Nephrology Associates, PC

  • Internal Medicine Physician
  • Bay Shore, NY
  • NPI 1255501045
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• New York Dialysis Services, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bay Shore, NY
  • NPI 1801433834

  Dialysis facility

  Care Compare affiliation Name & address match
• New York Dialysis Services, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • North Babylon, NY
  • NPI 1891370979

  Dialysis facility

  Care Compare affiliation Name & address match
• Good Samaritan Hospital Medical Center

  • General Acute Care Hospital
  • West Islip, NY
  • NPI 1902865355
  Care Compare affiliation
• South Shore University Hospital

  • General Acute Care Hospital
  • Bay Shore, NY
  • NPI 1457369381
  Care Compare affiliation

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1194010579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 WAGSTAFF DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115545420",
            "telephone_number": "516-491-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HOWELLS RD STE A",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065322",
            "telephone_number": "631-666-2864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "Lindenhurst",
            "state": "NY",
            "postal_code": "117575630",
            "country_code": "US",
            "telephone_number": "631-666-2808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMMIER",
        "first_name": "MAX",
        "middle_name": "RICARDO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "275020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Pohanka IV, MD
• Gina Polidoro-Yodice, LMHC
• Michael Polidoro, PA
• Vincent Polo, PA
• Shedely Polynice
• Escarleth Adony Ponce Fuentes
• Eleanor Ponce, L.C.S.W-R
• Justin Kafut Poon, M.D
• Jennifer Port
• Nicholas Posillico, PT

• Nephrology Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.