Individual provider Active NPI

Marshall Sandy Pollack, MK.D.

  • Obstetrics & Gynecology Physician
  • Millburn, NJ
National Provider Identifier
1366472946
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA035089 Issued in NJ
Practice address
233 Millburn Ave
Millburn, NJ 07041-1718
Phone
(973) 467-9440
Fax
(973) 376-1680
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA035089 NJ Primary

Addresses

Primary practice location

233 Millburn Ave
Millburn, NJ 07041-1718

Mailing address

233 Millburn Ave
Millburn, NJ 07041-1718
Phone (973) 467-9440

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000494 NJ Practitioner - Obstetrics/Gynecology 3870638984 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rowan University School of Osteopathic Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

101 Old Short Hills Rd
Suite 101
West Orange, NJ 07052-1023
Phone (973) 736-1100

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone (973) 322-8284

Hospital & facility affiliations

  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA035089NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Jul 1, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 16, 2024 Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology CurrentSince Jul 1, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 16, 2024 Accepting new patients

Locations

25A Vreeland Rd
Ste 104
Florham Park, NJ 07932

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Ste 117
Livingston, NJ 07039
Phone (973) 322-8284

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

33 Overlook Rd
Ste 108
Summit, NJ 07901
Phone (908) 522-6590

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

27 Mountain Blvd
Ste 6
Warren, NJ 07059
Phone (908) 222-7777

101 Old Short Hills Rd
Ste 101
West Orange, NJ 07052
Phone (973) 736-1313

Interoperability endpoints

  • Direct secure messaging: mpollack237768@epicdirect.rwjbh.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1366472946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411718",
            "telephone_number": "973-467-9440",
            "fax_number": "973-376-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MILLBURN AVE",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411718",
            "telephone_number": "973-467-9440",
            "fax_number": "973-376-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "MARSHALL",
        "middle_name": "SANDY",
        "name_prefix": "Dr.",
        "credential": "MK.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA035089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millburn, NJ

Sources for this page

Verify at the official NPI Registry.