Organization Active NPI

Pauline Polin Fu, DPM, PC

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1306099890
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N006198 Issued in NY
Legal business name
PAULINE POLIN FU, DPM, PC
Practice address
280 Madison Ave RM 202
New York, NY 10016-0816
Phone
(212) 889-2318
Fax
(212) 889-2845
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Dr. Pauline Polin Fu, DPMNPI 1124215827
Title
Provider
Phone
(646) 508-1923

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N006198 NY Primary

Addresses

Primary practice location

280 Madison Ave RM 202
New York, NY 10016-0816

Mailing address

280 Madison Ave RM 202
New York, NY 10016-0816
Phone (212) 889-2318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090309000168 NY Part B Supplier - Clinic/Group Practice 4082770565 Receives reassigned benefits from 4 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

120 E 56th St
Rm 940
New York, NY 10022
Phone (212) 765-0765

280 Madison Ave
Rm 202
New York, NY 10016
Phone (212) 889-2318

274 Madison Ave
Rm 1106
New York, NY 10016
Phone (212) 802-1433

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1306099890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160816",
            "telephone_number": "212-889-2318",
            "fax_number": "212-889-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE RM 202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160816",
            "telephone_number": "212-889-2318",
            "fax_number": "212-889-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULINE POLIN FU, DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "FU",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_middle_name": "POLIN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "646-508-1923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N006198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.