Samuel P Pollak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T003781 Issued in NY

Practice address

22 Lyncrest Dr
Monsey, NY 10952-1630

Phone

(845) 425-0043

Fax

(845) 354-6335

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Liebergall Eye Associates, M.D.,P.C.Group PAC ID 5991742959, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.5 of 100Reported as group

Quality

91

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sampollakod@ocreyemd.direct.eyemdemr.com

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.

• Liebergall Eye Associates, M.D.,P.C.

  • Ophthalmology Physician
  • Suffern, NY
  • NPI 1487633079
  Medicare reassignment Care Compare group NPD
• Ophthalmic Consultants of Long Island

  • Ophthalmology Physician
  • Rockville Centre, NY
  • NPI 1285675660
  Medicare reassignment NPD
• Ophthalmic Consultants of Long Island

  • Ophthalmology Physician
  • Stony Brook, NY
  • NPI 1245271600
  NPD

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1225008089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LYNCREST DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521630",
            "telephone_number": "845-425-0043",
            "fax_number": "845-354-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LYNCREST DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521630",
            "telephone_number": "845-425-0043",
            "fax_number": "845-354-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAK",
        "first_name": "SAMUEL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T003781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00403030",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pivot Point Licensed Behavior Analyst PLLC
• Platinum Home Care LLC
• Sigalit Pollack, DMD
• Ahuva Pollak, MS
• Chava Pollak, FNP
• Ruven Porges, SLP
• Malkey Porgesz
• Potential Licensed Behavior Analysts PLLC
• Sharon Prager- Gold, OTR/L
• Alana Praver, M.A. ED./SP.ED.

• Optometrist in Monsey, NY
• Providers in Monsey, NY by specialty
• Optometrist in New York

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