Active NPI
Mark S Pollner, M.D.
- Anesthesiology Physician
- Selden, NY
National Provider Identifier
1700983392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 172712-1
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172712-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Evaluation Testing of Florida, Inc | Current | Accepting new patients | |
| Zimmerman & Anfang, MD, PC | Past | Accepting new patients | |
| Shariyar Hadi DO PC | Past | 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.
-
- Neurology Physician
- Boca Raton, FL
- NPI 1255533618
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1619206380
-
- Specialist
- New Hyde Park, NY
- NPI 1558433987
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.