Alan Scott Pollack, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

035572 Issued in NY

Practice address

225 E 64TH St Ste 1
New York, NY 10065-6690

Phone

(212) 838-0940

Fax

(212) 355-4784

NPI assigned

May 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1376758557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 64TH ST STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656690",
            "telephone_number": "212-838-0940",
            "fax_number": "212-355-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E 64TH ST STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656690",
            "telephone_number": "212-838-0940",
            "fax_number": "212-355-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "ALAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "035572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "133049463",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pollack & Associates
• Pollack & Associates, PT, OT & SLP, PLLC (Watch Me Grow)
• Pollack & Associates, PT, OT & SLP, PLLC
• Martine R Pollack-Zollman
• Abraham Pollack, MD
• Amy Ellen Pollack, MD, MPH
• Aryeh L. Pollack, MD
• Bruce Matthew Pollack, LCSW
• Carrie Pollack
• Darren Keith Pollack, DC

• Periodontics in New York, NY
• Providers in New York, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.