Individual provider Active NPI

Soralda Polanco, NP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1881034817
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33 338186 Issued in NY
Practice address
227 W 27TH St
F.I.T. Health Service
New York, NY 10001-5902
Phone
(212) 217-4191
NPI assigned
Jul 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33 338186 NY Primary

Addresses

Primary practice location

227 W 27TH St
F.I.T. Health Service
New York, NY 10001-5902

Mailing address

227 West 27TH Street
A402
New York, NY 10001-5992
Phone (212) 217-4190

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170119000696 NY Practitioner - Nurse Practitioner 4789966151 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
33 338186NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Medical Services LLC CurrentSince Feb 1, 2021 Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
Expert Mobile Health PastSince Mar 19, 2023 Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients

Locations

35 N Tyson Ave
Ste 100
Floral Park, NY 11001
Phone (718) 276-7935

Organizations & group practices 4

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": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1881034817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 WEST 27TH STREET",
            "address_2": "A402",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015992",
            "telephone_number": "212-217-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W 27TH ST",
            "address_2": "F.I.T. HEALTH SERVICE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015902",
            "telephone_number": "212-217-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANCO",
        "first_name": "SORALDA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33 338186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.