Jillian Rose Polchinski, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2885 Fortesque Ave
Oceanside, NY 11572-2642

Phone

(516) 851-3773

NPI assigned

Sep 12, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jillian Rose Rauch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1649552084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 FORTESQUE AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722642",
            "telephone_number": "516-851-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 FORTESQUE AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722642",
            "telephone_number": "516-851-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLCHINSKI",
        "first_name": "JILLIAN",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-12",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "RAUCH",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dena M Pierce, MS RPT
• Jennifer Pierre-Louis
• Mary N Pierre, RN
• Michael Tyrae Pinckney, D.P.T.
• Daniella Pinkhasova, MD
• Gina L. Pontrelli, P.A.
• Natalie Louisa Poppito, MD
• Judy Portelli, NP-C
• Pamela Dawn Portnoy-Saitta, D.O.
• David Portnoy

• Speech-Language Pathologist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.