Individual provider Active NPI

Polina Shats, DO

  • Psychiatry Physician
  • Garden City, NY
National Provider Identifier
1235441320
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
286389-1 Issued in NY
Practice address
506 Stewart Ave
Garden City, NY 11530-4706
Phone
(516) 705-3400
NPI assigned
Jul 6, 2010
Last updated
Oct 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 286389-1 NY Primary

Addresses

Primary practice location

506 Stewart Ave
Garden City, NY 11530-4706

Mailing address

PO Box 1242
Bellmore, NY 11710-0735
Phone (516) 705-3400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170914002151 NY Practitioner - Psychiatry 4183998115 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
286389-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Single Specialty CurrentSince Jul 28, 2017 Accepting new patients
Mercy Medical Center Single Specialty CurrentSince May 19, 2018 Accepting new patients
St. Catherine of Siena Medical Center Single Specialty CurrentSince May 22, 2019 Accepting new patients
Mercy Medical Center Single Specialty CurrentSince May 19, 2018 Accepting new patients
Good Samaritan Hospital Medical Center Single Specialty Current Accepting new patients
Good Samaritan Hospital Medical Single Specialty CurrentSince Oct 17, 2018 Accepting new patients
Mercy Medical Center Single Specialty Current Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

300 Community Dr
Manhasset, NY 11030

27005 76th Ave
North New Hyde Pk, NY 11040

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

506 Stewart Ave
Village of Garden City, NY 11530
Phone (516) 705-3400

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

972 Brush Hollow Rd
Westbury, NY 11590

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1235441320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1242",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117100735",
            "telephone_number": "516-705-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304706",
            "telephone_number": "516-705-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATS",
        "first_name": "POLINA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "286389-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.