Polina Katkovskaya, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

059830 Issued in NY

Practice address

719 W 181St St
New York, NY 10033

Phone

(212) 795-1040

NPI assigned

May 1, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkatkovskaya1059886@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 and National Provider Directory roles.

• New York City Health and Hospitals Corporation

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment NPD
• New York City Health and Hospitals Corporation

  • Clinic/Center
  • Bronx, NY
  • NPI 1003824608
  NPD
• New York City Health and Hospitals Corporation

  • Clinic/Center
  • New York, NY
  • NPI 1538943469
  NPD
• Heights Pharmacy Inc

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1285645051
  NPD (past)
• Oceanview Dental

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1043375488
  NPD (past)

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1750816476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334731",
            "telephone_number": "212-795-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10033",
            "telephone_number": "212-795-1040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Kappock St Apt 7L",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104636429",
            "country_code": "US",
            "telephone_number": "347-249-0485 x90485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3061 Brighton 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112356409",
            "country_code": "US",
            "telephone_number": "718-332-0202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1606 Townsend Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10452",
            "country_code": "US",
            "telephone_number": "646-670-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATKOVSKAYA",
        "first_name": "POLINA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "059830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Catherine Katinas, MD
• Mary Elizabeth Katinas, NP
• Chitra Punjabi Katiyar, MD
• Prerana Katiyar, MD
• Pamela Dru Katkin, PAC
• Katlyn Haney LCSW
• Aliceia Dolma Kato-Carino, DSOM, LAC
• Hirotaka Kato, M.D.
• Kaoru Kato
• Kyle Kato, M.D.

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.