Donald R. Polakoff, M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

MA45959 Issued in NJ

Practice address

111 Union Valley Rd
Suite 102
Monroe, NJ 08831-6000

Phone

(609) 655-1818

Fax

(609) 655-1814

NPI assigned

Jun 16, 2005

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

Electronic endpoints 1

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

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 and National Provider Directory roles.

• CK Surgical, LLC

  • Surgery Physician
  • Freehold, NJ
  • NPI 1447726880
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1407851355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 UNION VALLEY RD",
            "address_2": "SUITE 102",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088316000",
            "telephone_number": "609-655-1818",
            "fax_number": "609-655-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 UNION VALLEY RD",
            "address_2": "SUITE 102",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088316000",
            "telephone_number": "609-655-1818",
            "fax_number": "609-655-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAKOFF",
        "first_name": "DONALD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NJ",
            "license": "MA45959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "donald.polakoff@mbortho.directbygreenway.com",
            "affiliation": "N",
            "address_1": "111 Union Valley Rd",
            "address_2": "Suite 102",
            "city": "Monroe",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088316000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peaceful Change Counseling
• Jesse Christian Pedersen
• Pediatrician in Monroe
• Michelle Marie Petito, BCBA
• Mary Hazel Platon, PT
• Heather Ponterio
• Princeton Anesthesia Services, PC
• Recover Pro Medical & Wellness
• Sureka Reddy, M.D.
• Reditohelp

• Adult Reconstructive Orthopaedic Surgery Physician in Monroe, NJ
• Providers in Monroe, NJ by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.