Individual provider Active NPI

Mark S Pollner, M.D.

  • Anesthesiology Physician
  • Selden, NY
National Provider Identifier
1700983392
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
172712-1 Issued in NY
Practice address
761 Middle Country Rd
Selden, NY 11784-2550
Phone
(631) 736-4064
Fax
(631) 736-1332
NPI assigned
Sep 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 172712-1 NY Primary

Addresses

Primary practice location

761 Middle Country Rd
Selden, NY 11784-2550

Mailing address

761 Middle Country Rd
Selden, NY 11784-2550
Phone (631) 736-4064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210527000530 FL Practitioner - Anesthesiology 0648350702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Functional Evaluation Testing of Florida, IncGroup PAC ID 6002106481, 2 clinicians

Practice addresses (Care Compare)

5301 N Federal Hwy
Suite 165
Boca Raton, FL 33487-4914
Phone (561) 864-1078

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172712-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Functional Evaluation Testing of Florida, Inc CurrentSince Jun 1, 2021 Accepting new patients
Zimmerman & Anfang, MD, PC Past Accepting new patients
Shariyar Hadi DO PC PastSince Apr 1, 2016 Accepting new patients

Locations

5301 N Federal Hwy
Ste 165
Boca Raton, FL 33487
Phone (561) 705-1389

1515 N Federal Hwy
Ste 300
Boca Raton, FL 33432
Phone (561) 289-3663

Organizations & group practices 3

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1700983392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842550",
            "telephone_number": "631-736-4064",
            "fax_number": "631-736-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842550",
            "telephone_number": "631-736-4064",
            "fax_number": "631-736-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLNER",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "172712-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selden, NY

Sources for this page

Verify at the official NPI Registry.