Individual provider Active NPI

Sandra H Pollonais, R,N

  • Registered Nurse
  • Aberdeen, NJ
National Provider Identifier
1396924247
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
521229 Issued in NY
Practice address
33 Aberdeen Road Apt 347B
Aberdeen, NJ 07747
Phone
(917) 365-4441
NPI assigned
Oct 29, 2007
Last updated
Oct 29, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 521229 NY Primary

Addresses

Primary practice location

33 Aberdeen Road Apt 347B
Aberdeen, NJ 07747

Mailing address

33 Aberdeen Rd Apt 347B
Aberdeen, NJ 07747-1165
Phone (917) 365-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
521229NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Millenium Pro, Inc. Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1396924247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 ABERDEEN RD APT 347B",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077471165",
            "telephone_number": "917-365-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 ABERDEEN ROAD APT 347B",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "07747",
            "telephone_number": "917-365-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLONAIS",
        "first_name": "SANDRA",
        "middle_name": "H",
        "credential": "R,N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "521229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.