Elizabeth Polakoff, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00657400 Issued in NJ

Practice address

30 Kingsland Rd
Clifton, NJ 07014-1904

Phone

(973) 803-7645

NPI assigned

Oct 24, 2014

Last updated

Mar 28, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of America LLCGroup PAC ID 7315125184, 127 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.91 of 100Reported as group

Quality

96.31

Promoting interoperability

100

Improvement activities

40

Cost

73.39

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: epolakoff@ecoa.intellechartdirect.net

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.

• Eye Centers of America, LLC

  dba Retina Center of New Jersey

  • Ophthalmology Physician
  • Bloomfield, NJ
  • NPI 1649563636
  Medicare reassignment Care Compare group NPD
• JG Optical Inc.

  • Optician
  • Verona, NJ
  • NPI 1598509879
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1306241013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KINGSLAND RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141904",
            "telephone_number": "973-803-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 KINGSLAND RD",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070141904",
            "telephone_number": "973-803-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAKOFF",
        "first_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00657400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosemarie Plenos
• PM&R First Medical P.C.
• Albert Joseph Pogorelec Jr., D.O.
• Michael T. Pogorelec, D.C.
• Andrey Pogrebinskiy, DPT
• Diana Alexandra Polania, APN
• Poller Dental Group
• Enrique Polo Molina, OPAC
• Katherine Delaney Polos, M.S.,CCC-SLP
• Shira Pomrantz, LCSW

• Optometrist in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.