Mary Zemyan Polito, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

UP001105C Issued in PA

Practice address

422 Main St
Johnstown, PA 15901-1824

Phone

(814) 536-2526

NPI assigned

Feb 15, 2011

Sex

Female

Sole proprietor

Yes

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": "1297728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1225335938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 COON RIDGE RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159055302",
            "telephone_number": "814-322-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MAIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011824",
            "telephone_number": "814-536-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITO",
        "first_name": "MARY",
        "middle_name": "ZEMYAN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "UP001105C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Paige Poborski, COTA
• Rachael Podgorney, LCSW
• Kevin Podolak
• Sydney Ragan Podrebarac
• Joseph R Polito, MD
• Samuel Charles Pollina, DMD
• Annette Pollino Vamos, LPC
• Ashley Danielle Pollino, PA-C
• Neely Jo Polo, PHARMD
• Chelsa A Polonia, PA-C

• Adult Health Nurse Practitioner in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Adult Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.