Thomas D Polisoto, MD

Primary specialty

Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X

License

174476-1 Issued in NY

Practice address

550 Orchard Park Rd
Building C
West Seneca, NY 14224-2646

Phone

(716) 558-5153

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• University at Buffalo Pediatric Associates Inc

  • Pediatrics Physician
  • Buffalo, NY
  • NPI 1912928599
  NPD (past)
• University Physical Medicine and Rehabilitation Associates Inc.

  • Physical Medicine & Rehabilitation Physician
  • Buffalo, NY
  • NPI 1558300871
  NPD (past)
• Wny Rehabilitation Medicine and Pain MGMT LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • West Seneca, NY
  • NPI 1164722054
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1891769436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 HARRIS HILL RD",
            "address_2": "SUITE 207",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142217470",
            "telephone_number": "716-634-4798",
            "fax_number": "716-634-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ORCHARD PARK RD",
            "address_2": "BUILDING C",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242646",
            "telephone_number": "716-558-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLISOTO",
        "first_name": "THOMAS",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "NY",
            "license": "174476-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01074657",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Pitillo
• Carly Plain, BCBA
• Janice Marie Planter
• Tionna Pleasant
• Lori Poepsel
• Christopher Ponichtera, PT DPT
• Angelica Rose Porto, REGISTERED NURSE
• Ashley Potenza
• Victoria Pothaczky
• Ann R Powell, CNM

• Spinal Cord Injury Medicine Physician in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Spinal Cord Injury Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.

Verify at the official NPI Registry.