Jerry Polynsky, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077191 Issued in NY

Practice address

2925A Kings Hwy
Brooklyn, NY 11229-1805

Phone

(718) 382-0045

Fax

(718) 859-7157

NPI assigned

Oct 8, 2009

Sex

Male

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

• Yuri Polynsky Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254960000000",
    "number": "1689909624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BEVERLEY RD",
            "address_2": "APT. 7G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183151",
            "telephone_number": "718-854-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925A KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291805",
            "telephone_number": "718-382-0045",
            "fax_number": "718-859-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLYNSKY",
        "first_name": "JERRY",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YURI",
            "last_name": "POLYNSKY",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Polymed Community Care,PC
• Elizabeth Polynice
• Ketty Polynice
• Nadege Polynice, LIC PRACTICAL NURSE
• Yves Dania Polynice
• Pom Health, Inc.
• Chava Pomerantz
• Danielle Pomerantz
• Joanna Pomerantz
• Linda Evelyn Pomerantz, SLP

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; 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.