Active NPI
Amy Elizabeth Pollick, PA-C
- Physician Assistant
- East Stroudsburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA052873
- Practice address
- 200 Plaza CT
East Stroudsburg, PA 18301 - Phone
- (570) 420-6220
- Fax
- (570) 420-6221
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA052873 | PA | Primary |
Addresses
Primary practice location
200 Plaza CT
East Stroudsburg, PA 18301
Mailing address
2100 Mack Blvd FL 2
Allentown, PA 18103-5622
Phone (570) 426-2733
Other practice location 1
5 First Village Drive
Pinehurst, NC 28374
Phone (910) 295-6831
Other practice location 2
5 First Village Drive
Pinehurst, NC 28374
Phone (910) 295-6831
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031988300001 | Medicaid | PA | |
| 504017PZP | Other | PA | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2100 Mack Blvd
Allentown, PA 18103-5622
Hospital & facility affiliations
- Lehigh Valley Hospital - Pocono
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.09 of 100
- Quality
- 74.47
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 74.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles K Herman MD PLLC | Current | Accepting new patients | |
| Family Care Centers Inc. | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Pulmonary Associates PC | Past | Accepting new patients |
Locations
2100 Mack Blvd
Fl 2
Allentown, PA 18103
2100 Mack Blvd
Fl 4
Allentown, PA 18103
470 Sentry Pkwy E
Blue Bell, PA 19422
Phone (570) 350-6368
500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970
500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330
200 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 420-6220
500 Plaza Ct
Ofc Plz
East Stroudsburg, PA 18301
Phone (570) 420-2188
Organizations & group practices 5
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.
-
- Plastic Surgery Physician
- Blue Bell, PA
- NPI 1881568913
-
- Internal Medicine Physician
- E Stroudsburg, PA
- NPI 1669563037
-
- Family Medicine Physician
- East Stroudsburg, PA
- NPI 1245093368
-
- Family Medicine Physician
- Blandon, PA
- NPI 1316265192
-
- Pulmonary Disease Physician
- Allentown, PA
- NPI 1245209022
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1497762264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 MACK BLVD FL 2",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181035622",
"telephone_number": "570-426-2733",
"fax_number": "570-426-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PLAZA CT",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "18301",
"telephone_number": "570-420-6220",
"fax_number": "570-420-6221"
}
],
"practiceLocations": [
{
"address_1": "5 First Village Drive",
"address_purpose": "LOCATION",
"city": "Pinehurst",
"state": "NC",
"postal_code": "28374",
"country_code": "US",
"telephone_number": "910-295-6831",
"fax_number": "910-295-0244",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5 First Village Drive",
"address_purpose": "LOCATION",
"city": "Pinehurst",
"state": "NC",
"postal_code": "28374",
"country_code": "US",
"telephone_number": "910-295-6831",
"fax_number": "910-295-0244",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLLICK",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA052873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1031988300001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "504017PZP",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.