Active NPI
Polina L Litvin, M.D.
- Surgery Physician
- Livingston, NJ
National Provider Identifier
1669607339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R5767
- Practice address
- 94 Old Short Hills Rd
Livingston, NJ 07039 - Phone
- (818) 730-5951
- NPI assigned
- May 22, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R5767 | TX | Primary |
Addresses
Primary practice location
94 Old Short Hills Rd
Livingston, NJ 07039
Mailing address
240 Desert Pass St Apt 1801
El Paso, TX 79912-3626
Phone (818) 730-5951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529193600000",
"number": "1669607339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 DESERT PASS ST APT 1801",
"city": "EL PASO",
"state": "TX",
"postal_code": "799123626",
"telephone_number": "818-730-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 OLD SHORT HILLS RD",
"city": "LIVINGSTON",
"state": "NJ",
"postal_code": "07039",
"telephone_number": "818-730-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITVIN",
"first_name": "POLINA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-22",
"last_updated": "2018-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "R5767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.