Ellen Michelle Polyakov, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9121679 Issued in FL

Practice address

2900 N Military TRL Ste 107
Boca Raton, FL 33431-6347

Phone

(305) 492-7477

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1649183690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 COBIA CIR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373641",
            "telephone_number": "561-699-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 107",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316347",
            "telephone_number": "305-492-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLYAKOV",
        "first_name": "ELLEN",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9121679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polo Medical Center Inc
• Lee Anne Poloronis, LMHC
• Laurie Poloskey, PT
• Elizabeth Nicole Polsinelli, DO
• Abbe Polsyn, PSY.D.
• Polynesia Inc (Clint Moore Pharmacy LTC)
• Polynesia Inc (Clint Moore Pharmacy)
• Polynesia Inc. (Clint Moore Pharmacy)
• Susan Pomeranz, L.M.H.C.
• Angela Patricia Pomilio, APRN

• Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.