Active NPI
Polina Karmazin, M.D.
- Family Medicine Physician
- Voorhees, NJ
National Provider Identifier
1861471161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA03994100
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2338700 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170814000840 | NJ | Order and Referring Only - Pain Management | 7911808175 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.