Michael H Polcino, MD, PLLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

254871 Issued in NY

Legal business name

MICHAEL H POLCINO, MD, PLLC

Practice address

796 Deer Park Ave
North Babylon, NY 11703-4304

Phone

(631) 482-8134

NPI assigned

Dec 16, 2014

Last updated

Dec 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Polcino III, MD

Title

Owner/President

Phone

(631) 482-8134

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Henry Polcino, MD

  • Surgery Physician
  • West Babylon, NY
  • NPI 1932475308
  Medicare reassignment NPD
• Amy Eimer, FNP-C

  • Family Nurse Practitioner
  • West Babylon, NY
  • NPI 1538749882
  NPD
• Jillian McLees, NP

  • Women's Health Nurse Practitioner
  • West Babylon, NY
  • NPI 1124994637
  NPD
• Michael H Polcino, MD

  • Obstetrics & Gynecology Physician
  • West Babylon, NY
  • NPI 1922180280
  NPD
• Hana Dandona, RPA-C

  • Medical Physician Assistant
  • North Babylon, NY
  • NPI 1003008038
  NPD (past)

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1881092336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "796 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034304",
            "telephone_number": "631-482-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "796 DEER PARK AVE",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034304",
            "telephone_number": "631-482-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H POLCINO, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "POLCINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "631-482-8134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "254871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faye H McDew
• Megan McGrath, MS,BCBA
• Regina Imelda McInerney-Lopez, D.O.
• Jorge Ernesto Mejia-Corletto, M.D.
• Kristin Jeanne Merone, LCSW
• Wil Jr Micourt, LPN
• Allison Elizabeth Milana-Trinka, LMHC
• Annette C. Miller, L.P.N.
• Robert J. Miller, L.P.N.
• Laura Miranda, PT

• Colon & Rectal Surgery Physician in North Babylon, NY
• Providers in North Babylon, NY by specialty
• Colon & Rectal Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.