Active NPI
Noha Polack, M.D.
- Pediatrics Physician
- Union City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA63880
- Practice address
- 3196 Kennedy Blvd
Third Floor
Union City, NJ 07087-2436 - Phone
- (201) 319-9800
- Fax
- (201) 319-9849
- NPI assigned
- Mar 3, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA63880 | NJ | Primary |
Addresses
Primary practice location
3196 Kennedy Blvd
Third Floor
Union City, NJ 07087-2436
Mailing address
3196 Kennedy Blvd
Third Floor
Union City, NJ 07087-2436
Phone (201) 319-9800
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1K0951N | Other | NJ | HEALTHNET OF NORTHEAST |
| 559531 | Other | NY | 559531 |
| P1237291 | Other | NJ | OXFORD HEALTHCARE |
| J6791 | Other | NJ | HORIZON BCBSNJ |
| 1086830 | Other | NJ | HORIZON NJ HEATHCARE |
| 2602850 | Other | NY | GHI |
| 1771005 | Other | NJ | CIGNA HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA63880 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humc Opco LLC | Current | Accepting new patients | |
| Advocare, LLC | Pediatrics | Current | Accepting new patients |
| Advocare , LLC | Current | Accepting new patients | |
| Advocare, LLC | Pediatrics | Past | Accepting new patients |
Locations
169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777
Interoperability endpoints
- noha.polack@advocaredoctors.eclinicaldirectplus.com
- noha.polack@direct.hobokenumc.md
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
- General Acute Care Hospital
- Hoboken, NJ
- NPI 1043475668
-
- Pediatrics Physician
- Cherry Hill, NJ
- NPI 1780696732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1578530010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3196 KENNEDY BLVD",
"address_2": "THIRD FLOOR",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070872436",
"telephone_number": "201-319-9800",
"fax_number": "201-319-9849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3196 KENNEDY BLVD",
"address_2": "THIRD FLOOR",
"city": "UNION CITY",
"state": "NJ",
"postal_code": "070872436",
"telephone_number": "201-319-9800",
"fax_number": "201-319-9849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLACK",
"first_name": "NOHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA63880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET OF NORTHEAST",
"identifier": "1K0951N",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "559531",
"identifier": "559531",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTHCARE",
"identifier": "P1237291",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BCBSNJ",
"identifier": "J6791",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEATHCARE",
"identifier": "1086830",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2602850",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "1771005",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Union City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.