Individual provider Active NPI

Polina Karmazin, M.D.

  • Family Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1861471161
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA03994100 Issued in NJ
Practice address
701 Cooper Rd
Suite 16
Voorhees, NJ 08043-3800
Phone
(856) 783-5000
Fax
(856) 783-5041
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA03994100 NJ Primary

Addresses

Primary practice location

701 Cooper Rd
Suite 16
Voorhees, NJ 08043-3800

Mailing address

701 Cooper Rd
Suite 16
Voorhees, NJ 08043-3800
Phone (856) 783-5000

Other identifiers 1

IdentifierTypeStateIssuer
2338700MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814000840 NJ Order and Referring Only - Pain ManagementPractitioner - Pain Management 7911808175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Primary Care Inc Family Medicine Past Accepting new patients

Organizations & group practices 1

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1861471161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COOPER RD",
            "address_2": "SUITE 16",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433800",
            "telephone_number": "856-783-5000",
            "fax_number": "856-783-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COOPER RD",
            "address_2": "SUITE 16",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433800",
            "telephone_number": "856-783-5000",
            "fax_number": "856-783-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARMAZIN",
        "first_name": "POLINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03994100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2338700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.