Organization Active NPI

Polina Feygin Medical PC

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1740517101
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
POLINA FEYGIN MEDICAL PC
Practice address
14210 Roosevelt Ave
Ste B
Flushing, NY 11534
Phone
(718) 886-5888
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Polina FeyginNPI 1720064157
Title
President
Phone
(718) 886-5888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

14210 Roosevelt Ave
Ste B
Flushing, NY 11534

Mailing address

14210 Roosevelt Ave
Ste B
Flushing, NY 11534
Phone (718) 886-5888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100315000939 NY Part B Supplier - Clinic/Group Practice 9133254279 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

14210 Roosevelt Ave
Ste B
Flushing, NY 11354
Phone (718) 886-5888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1740517101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14210 ROOSEVELT AVE",
            "address_2": "STE B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11534",
            "telephone_number": "718-886-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14210 ROOSEVELT AVE",
            "address_2": "STE B",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11534",
            "telephone_number": "718-886-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLINA FEYGIN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "FEYGIN",
        "authorized_official_first_name": "POLINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-886-5888"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.