Marie Polistin

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

632420 Issued in NY

Practice address

1624 Wales Ave
North Baldwin, NY 11510-1738

Phone

(516) 233-7199

NPI assigned

Nov 13, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1790254373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 WALES AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 WALES AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101738",
            "telephone_number": "516-233-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLISTIN",
        "first_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "632420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Pierre
• Nirva Pierrot, EI TEACHER
• Jodian Pinnock
• Lerna M Pitaluga, MS SPED
• Linda Plaag, D.D.S
• Nicholas Prakope
• Proactive Counseling LCSW P.C.
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy, P.C.
• Lam Cu Quan, M.D.

• Registered Nurse in North Baldwin, NY
• Providers in North Baldwin, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.