Shoshannah Pollack, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

63147 Issued in NJ

Practice address

1777 Hamburg Tpke
Ste 206
Wayne, NJ 07470-5243

Phone

(973) 835-1823

Fax

(973) 831-7585

NPI assigned

Apr 17, 2006

Last updated

Mar 4, 2019By the provider in NPPES

Sex

Female

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

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Physicians Health Alliance PA

  • Cardiovascular Disease Physician
  • Wayne, NJ
  • NPI 1528047842
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1306800156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE",
            "address_2": "STE 206",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705243",
            "telephone_number": "973-835-1823",
            "fax_number": "973-831-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 HAMBURG TPKE",
            "address_2": "STE 206",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705243",
            "telephone_number": "973-835-1823",
            "fax_number": "973-831-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "SHOSHANNAH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "63147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia PO, APN
• Podiatry Center of New Jersey, LLC
• Ann Pogolowitz, LCSW
• Point View Care and Rehab Center LLC (Berkshire Post Acute Care at Wayne)
• Point View Radiology Associates, P.C.
• Stephania Polo, LPC
• Emily Pomante, APN
• Jessica Lila Poniatowski, APRN,BC
• Anthony Pontone, OTR/L
• Edward Ponzini, RPH

• Dermatology Physician in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.