Active NPI
Polina Gilchyonok, M.D.
- Internal Medicine Physician
- Larchmont, NY
National Provider Identifier
1790719615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 196246
- Practice address
- 31 Prospect Ave
Larchmont, NY 10538 - Phone
- (914) 523-0451
- Fax
- (914) 630-7314
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 196246 | NY | Primary |
Addresses
Primary practice location
31 Prospect Ave
Larchmont, NY 10538
Mailing address
31 Prospect Ave
Larchmont, NY 10538
Phone (914) 523-0451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01507088 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196246 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Internal Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Internal Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Internal Medicine | Past | Accepting new patients |
| Regional Physician Services, PC | Internal Medicine | Past | Accepting new patients |
| Medical Network Services PC | Internal Medicine | Past | Accepting new patients |
| Gramercy Park Medical PC | Internal Medicine | Past | Accepting new patients |
Locations
50 Water St
Fl 3
New York, NY 10004
227 Madison St
New York, NY 10002
Phone (212) 238-7000
460 Brielle Ave
Staten Island, NY 10314
Phone (646) 694-6680
Interoperability endpoints
- https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4
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.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
Internal Medicine
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Clinic/Center
- Brooklyn, NY
- NPI 1922736727
Internal Medicine
-
- Internal Medicine Physician
- Jamaica, NY
- NPI 1932141082
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1871507731
-
- Skilled Nursing Facility
- New York, NY
- NPI 1497859573
Internal Medicine
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1508857343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1790719615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 PROSPECT AVE",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "10538",
"telephone_number": "914-523-0451",
"fax_number": "914-630-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 PROSPECT AVE",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "10538",
"telephone_number": "914-523-0451",
"fax_number": "914-630-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILCHYONOK",
"first_name": "POLINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "196246",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01507088",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Larchmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.