NPIMap

Individual provider Active NPI

Polina Kagan, M.D.

  • Obstetrics & Gynecology Physician
  • Rockville Centre, NY
National Provider Identifier
1508855792
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
191486 Issued in NY
Practice address
556 Merrick Rd
Suite 200
Rockville Centre, NY 11570-5487
Phone
(516) 255-2044
Fax
(516) 255-2045
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 191486 NY Primary

Addresses

Primary practice location

556 Merrick Rd
Suite 200
Rockville Centre, NY 11570-5487

Mailing address

556 Merrick Rd
Suite 200
Rockville Centre, NY 11570-5487
Phone (516) 255-2044

Other identifiers 1

IdentifierTypeStateIssuer
01732118MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000756 NY Practitioner - Obstetrics/Gynecology 7719941426 Reassigns benefits to 2 organizations
Practice locations: Rockville Centre, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

556 Merrick Rd
Suite 200
Rockville Centre, NY 11570-5545
Phone (516) 255-2044

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Merit-based Incentive Payment System (MIPS)

Final score
21.35 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
191486NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Nassau Physician Practice PC CurrentSince Oct 1, 2019 Accepting new patients
Mercy Medical Center Past Accepting new patients
Mercy Medical Center Past Accepting new patients
South Nassau Family Medicine PC Past Accepting new patients

Locations

196 Merrick Rd
Oceanside, NY 11572
Phone (516) 255-1616

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

556 Merrick Rd
Ste 201
Rockville Centre, NY 11570

1 S Central Ave
Valley Stream, NY 11580
Phone (516) 632-3300

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1508855792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 MERRICK RD",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705487",
            "telephone_number": "516-255-2044",
            "fax_number": "516-255-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 MERRICK RD",
            "address_2": "SUITE 200",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115705487",
            "telephone_number": "516-255-2044",
            "fax_number": "516-255-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGAN",
        "first_name": "POLINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "191486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01732118",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.