Individual provider Active NPI

Jonathan Polak, M.D.

  • Internal Medicine Physician
  • Wolfeboro, NH
National Provider Identifier
1659750560
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19473 Issued in NH
Practice address
55 Mill St Ste 101
Wolfeboro, NH 03894-4328
Phone
(252) 722-3240
NPI assigned
May 26, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C194706 CA
Internal Medicine Physician 207R00000X 19473 NH Primary

Addresses

Primary practice location

55 Mill St Ste 101
Wolfeboro, NH 03894-4328

Mailing address

55 Mill St Ste 101
Wolfeboro, NH 03894-4328
Phone (252) 722-3240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190424000488 NH Practitioner - Internal Medicine 6800195868 Reassigns benefits to 3 organizations
Practice locations: Wolfeboro, NH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince May 3, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince May 3, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince May 3, 2025 Accepting new patients
Alignmed Medical Group, PC CurrentSince May 3, 2025 Accepting new patients
Wolfeboro SNF Opco LLC Past Accepting new patients

Locations

239 Pleasant St
Concord, NH 03301
Phone (603) 224-6561

175 Blueberry Ln
Laconia, NH 03246
Phone (603) 524-3340

24 Old Etna Rd
Lebanon, NH 03766
Phone (603) 442-4207

8 Snow Rd
Winchester, NH 03470
Phone (603) 239-6355

39 Clipper Dr
Wolfeboro, NH 03894
Phone (603) 569-3950

1660 Easton Rd
Warrington, PA 18976
Phone (215) 345-3205

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1659750560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MILL ST STE 101",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944328",
            "telephone_number": "252-722-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MILL ST STE 101",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038944328",
            "telephone_number": "252-722-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAK",
        "first_name": "JONATHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-26",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C194706",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "19473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfeboro, NH

Sources for this page

Verify at the official NPI Registry.