Jeffrey S. Pollack, MD., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA44557 Issued in NJ

Legal business name

JEFFREY S. POLLACK, MD., P.A.

Practice address

6044 Harding Hwy
Mays Landing, NJ 08330-1549

Phone

(609) 625-9146

Fax

(609) 625-7405

NPI assigned

May 4, 2011

Organization subpart

No

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

Authorized official

Name

Jeffrey Stuart Pollack, MD

Title

President

Phone

(609) 625-9146

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1497047831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 HARDING HWY",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301549",
            "telephone_number": "609-625-9146",
            "fax_number": "609-625-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 HARDING HWY",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301549",
            "telephone_number": "609-625-9146",
            "fax_number": "609-625-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. POLLACK, MD., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-625-9146",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA44557",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA44557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Mays Landing, NJ
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.