Active NPI
Rena M Pollack, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Bronx, NY
National Provider Identifier
1255637534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 260013
- Practice address
- 1575 Blondell Avnenue, Suite 220
Endocrinology and Diabetes Faculty Practice
Bronx, NY 10461 - Phone
- (718) 405-8019
- Fax
- (718) 405-8291
- NPI assigned
- Feb 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 260013 | NY | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 260013 | NY | Primary |
Addresses
Primary practice location
1575 Blondell Avnenue, Suite 220
Endocrinology and Diabetes Faculty Practice
Bronx, NY 10461
Mailing address
111 East 210TH Street
Montefiore Medical Center, Department of Endocrinology
Bronx, NY 10467
Phone (718) 920-7247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260013 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1255637534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 EAST 210TH STREET",
"address_2": "MONTEFIORE MEDICAL CENTER, DEPARTMENT OF ENDOCRINOLOGY",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-920-7247",
"fax_number": "718-920-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 BLONDELL AVNENUE, SUITE 220",
"address_2": "ENDOCRINOLOGY AND DIABETES FACULTY PRACTICE",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-405-8019",
"fax_number": "718-405-8291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "RENA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-02",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "260013",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "260013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.