Alexis A Polin, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

319202 Issued in NY

Practice address

45 Breakey Ave
Monticello, NY 12701-2530

Phone

(845) 796-3058

Fax

(845) 796-5035

NPI assigned

May 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1255076337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BREAKEY AVE",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127012530",
            "telephone_number": "845-796-3058",
            "fax_number": "845-796-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BREAKEY AVE",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127012530",
            "telephone_number": "845-796-3058",
            "fax_number": "845-796-5035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Patricia Pl",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "NY",
            "postal_code": "127012638",
            "country_code": "US",
            "telephone_number": "845-794-4240 x5",
            "fax_number": "845-796-5036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39 Breakey Ave",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "NY",
            "postal_code": "127012530",
            "country_code": "US",
            "telephone_number": "845-794-8840 x5",
            "fax_number": "845-796-5037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "69 Richardson Ave",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "NY",
            "postal_code": "127012212",
            "country_code": "US",
            "telephone_number": "845-794-8830 x5",
            "fax_number": "845-796-5006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Wurtsboro",
            "state": "NY",
            "postal_code": "127907818",
            "country_code": "US",
            "telephone_number": "845-888-2471 x5",
            "fax_number": "845-888-2029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLIN",
        "first_name": "ALEXIS",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "319202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apolin@k12.mcsd.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "none",
            "address_1": "172 Dyker Rd",
            "city": "North Branch",
            "state": "NY",
            "country_code": "US",
            "postal_code": "127665306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Jeanne Piluso-Willson, DPM
• Bruce Steven Pinker, D.P.M.
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• Plattsburgh Physical Therapy and Sports Rehab
• Susan K. Poli
• Evan Povill, MS, OTR/L
• Margaret Poziomska, MASTER CASAC
• Daisha Pozo Laguna, LPN
• Premier Care Physical Therapy, PLLC
• Glenna Le Price, LPN

• Licensed Practical Nurse in Monticello, NY
• Providers in Monticello, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.