Tamara Beth Pollak, WHNP (PREVIOUSLY RN)

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

421135 Issued in NY

Practice address

83-21 57TH Ave
Elmhurst, NY 11373

Phone

(718) 898-1170

Fax

(718) 898-3190

NPI assigned

Mar 6, 2013

Last updated

Oct 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: tpollak842914@nychhc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• City of New York Office of Payroll Administration

  • State or Local Public Health Clinic/Center
  • Jackson Heights, NY
  • NPI 1942257035
  Medicare reassignment NPD
• Downtown Bronx Medical Associates PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Bronx, NY
  • NPI 1689618407
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment NPD
• City of New York Office of Payroll Administration

  dba New York City Department of Health & Mental Hygienes Manhattanville H

  • Community Health Clinic/Center
  • New York, NY
  • NPI 1659327674
  NPD
• City of New York Office of Payroll Administration

  dba NYCDOHMH Bushwick District

  • Community Health Clinic/Center
  • Brooklyn, NY
  • NPI 1912953035
  NPD
• New York City Health and Hospitals Corporation

  • Clinic/Center
  • Bronx, NY
  • NPI 1134137375
  NPD
• New York City Health and Hospitals Corporation

  dba Henry J. Carter Specialty Hospital

  • Clinic/Center
  • New York, NY
  • NPI 1538943469
  NPD
• Adeeti Gupta Physician PC

  • Obstetrics & Gynecology Physician
  • Middle Village, NY
  • NPI 1447509989
  NPD (past)
• City of New York Office of Payroll Administration

  dba NYC DOHMH Crown Heights HC

  • State or Local Public Health Clinic/Center
  • Brooklyn, NY
  • NPI 1679501647
  NPD (past)
• New York City Health and Hospitals Corporation

  dba Jacobi Medical Center

  • General Acute Care Hospital
  • Bronx, NY
  • NPI 1679587679
  NPD (past)

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1689915357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83-21 57TH AVE,",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-898-1170",
            "fax_number": "718-898-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83-21 57TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-898-1170",
            "fax_number": "718-898-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAK",
        "first_name": "TAMARA",
        "middle_name": "BETH",
        "name_prefix": "Miss",
        "credential": "WHNP (PREVIOUSLY RN)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421135",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "NY",
            "license": "485415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colbey Plutzer
• Point Care Physical Therapy P C
• Larissa Polanco, MD
• Maurice Policar, M.D.
• Analene Policarpio, PT
• Alan J. Pollock, P.A.
• Kira Nicole Poncelet, CNM, DNP
• Nicole Porti, M.D.
• Sloan Addison Silverman Post
• Paul Adrian Powell, P.A

• Women's Health Nurse Practitioner in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.