Individual provider Active NPI

Gila Pollack

  • Specialist
  • Flushing, NY
National Provider Identifier
1568868826
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
896929141 Issued in NY
Practice address
7505 150TH St Apt 2D
Flushing, NY 11367-2988
Phone
(718) 989-9657
Fax
(347) 505-7060
NPI assigned
Nov 14, 2014
Last updated
Nov 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 896929141 NY Primary
Specialist 174400000X 501162111 NY

Addresses

Primary practice location

7505 150TH St Apt 2D
Flushing, NY 11367-2988

Mailing address

7505 150TH St Apt 2D
Flushing, NY 11367-2988
Phone (718) 989-9657

Other identifiers 1

IdentifierTypeStateIssuer
2299411OtherNYTEACHER ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
501162111NYMDSpecialist
896929141NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1568868826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 150TH ST APT 2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672988",
            "telephone_number": "718-989-9657",
            "fax_number": "347-505-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 150TH ST APT 2D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672988",
            "telephone_number": "718-989-9657",
            "fax_number": "347-505-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "GILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "896929141",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "501162111",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEACHER ID#",
            "identifier": "2299411",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.