Margaret Josephine Povloski, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0061501 Issued in NY

Practice address

One Brookdale Plaza
Brookdale Hospital
Brooklyn, NY 11212-3198

Phone

(718) 240-5363

Fax

(718) 240-5042

NPI assigned

May 24, 2007

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

Other names 1

• Mrs. Margarita Povolotskaya Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1962451195
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609087329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 AVE Z",
            "address_2": "APT D36",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "917-974-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BROOKDALE PLAZA",
            "address_2": "BROOKDALE HOSPITAL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123198",
            "telephone_number": "718-240-5363",
            "fax_number": "718-240-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POVLOSKI",
        "first_name": "MARGARET",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0061501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARITA",
            "last_name": "POVOLOTSKAYA",
            "prefix": "MRS.",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica M Pournaras, CD
• Bahar Pourshariati, MD
• Nadia Poustovoit, DDS
• Valer Povaliaev, PHARM.D.
• Emilia Poverin, LCSW
• Vincent S Povloski, PT
• Marina Povolotskaya
• June Powell-Beasley
• Carmen Powell-Cooper, BSN
• Ann-Marie Powell

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.