Individual provider Active NPI

Mi Chung Diane Pollack, DNP-BC

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1750708236
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338631 Issued in NY
Practice address
54 W 225TH St
Bronx, NY 10463-7002
Phone
(718) 568-8222
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 016434 CT
Family Nurse Practitioner 363LF0000X 338631 NY Primary

Addresses

Primary practice location

54 W 225TH St
Bronx, NY 10463-7002

Mailing address

Medrite Urgent Care
54 West 225TH St.
Bronx, NY 10463
Phone (718) 568-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151113000218 NY Practitioner - Nurse Practitioner 0840508511 Reassigns benefits to 2 organizations
I20260310001376 CT Practitioner - Nurse Practitioner 0840508511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norwalk Community Health Center IncGroup PAC ID 6305988510, 29 clinicians

Practice addresses (Care Compare)

120 Connecticut Ave
Norwalk, CT 06854-1525
Phone 20389917708005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
016434CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital Yonkers CurrentSince Sep 14, 2015 Accepting new patients
St. Joseph'S Hospital Yonkers Multi-Specialty Current Accepting new patients
St. Joseph'S Hospital & Medical Center Multi-Specialty CurrentSince Sep 14, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai Multi-Specialty CurrentSince Dec 15, 2017 Accepting new patients
Norwalk Community Health Center Inc Multi-Specialty CurrentSince Apr 6, 2026 Accepting new patients
Nuvance Health Medical Practice CT, Inc. Multi-Specialty Past Accepting new patients
Medrite Medical Care PC Multi-Specialty Past Accepting new patients

Locations

120 Connecticut Ave
Norwalk, CT 06854
Phone (203) 851-1000

55 Chestnut St
Norwalk, CT 06854
Phone (203) 851-1004

275 North St
Harrison, NY 10528
Phone (914) 925-5211

5030 Broadway
New York, NY 10034
Phone (212) 567-9800

638 Columbus Ave
New York, NY 10024
Phone (212) 523-8672

150 E 42nd St
New York, NY 10017
Phone (212) 661-8139

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCDGCD

Organizations & group practices 7

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1750708236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDRITE URGENT CARE",
            "address_2": "54 WEST 225TH ST.",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "718-568-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W 225TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637002",
            "telephone_number": "718-568-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "MI CHUNG DIANE",
        "name_prefix": "Dr.",
        "credential": "DNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "016434",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.