Philip C Pollen Sr., MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA046424 Issued in NJ

Practice address

3 Athens Ave
South Amboy, NJ 08879-2401

Phone

(732) 553-9400

Fax

(732) 553-1036

NPI assigned

Aug 31, 2006

Last updated

Jul 15, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Allcare Medical and Pain Management Group PA

  • Rehabilitation Clinic/Center
  • Woodbridge, NJ
  • NPI 1760694095
  NPD (past) Authorized official
• Parkview Center for Pain Management Inc.

  • Pain Medicine Physician
  • South Amboy, NJ
  • NPI 1073792677
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1245341924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ATHENS AVE",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792401",
            "telephone_number": "732-553-9400",
            "fax_number": "732-553-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ATHENS AVE",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792401",
            "telephone_number": "732-553-9400",
            "fax_number": "732-553-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLEN",
        "first_name": "PHILIP",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA046424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Anne Paturzo, BCBA
• Nichole Rose Perez, PMHNP
• Stephany Marie Perez, BSN, RN
• Petersonrx, LLC (Peterson Pharmacy)
• Bertha Pollard, LCADC
• Primary and Preventative Internal Medicine of Central New Jersey, LLC
• Jennifer Principe
• Pulmonary Care Inc
• Rama's Counseling Inc
• Stephanie Ramirez

• Specialist in South Amboy, NJ
• Providers in South Amboy, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.