Polina Tsyvin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

80043 Issued in MA

Practice address

1180 Beacon Street Suite 3B
Faulkner Medical Corporation
Brookline, MA 02446

Phone

(617) 232-8000

NPI assigned

Jul 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508899683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BEACON STREET SUITE 3B",
            "address_2": "FAULKNER MEDICAL CORPORATION",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-232-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BEACON STREET SUITE 3B",
            "address_2": "FAULKNER MEDICAL CORPORATION",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-232-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSYVIN",
        "first_name": "POLINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Trimble, PH.D.
• Allison Cray Troy, LICSW
• Daniel Trutt, M.D.,C.M.
• Nicholas George Tsakos, DDS
• Kuen-Shii Tsay, LIC. AC.
• Judith Rubin Tucker, LICSW
• Caitlyn Tuggey
• Annie Micheli Turf, ANNIE TURF, MSW
• Katherine Cooke Turnbull, PH.D.
• Kathy Mary Turner

• Internal Medicine Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.