Active NPI
Polina Medvedeva
- Obstetrics & Gynecology Physician
- Elmhurst, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 298999
- Practice address
- 8831 55TH Ave Ste 201
Elmhurst, NY 11373-4686 - Phone
- (718) 899-6600
- Fax
- (718) 606-3881
- NPI assigned
- Jun 29, 2015
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 298999 | NY | Primary |
Addresses
Primary practice location
8831 55TH Ave Ste 201
Elmhurst, NY 11373-4686
Mailing address
55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888
Other practice location 1
31-75 23rd Street
Astoria, NY 11106-4134
Phone (718) 956-2200
Other practice location 2
447 Atlantic Ave
Brooklyn, NY 11217-1702
Phone (718) 858-6300
Other practice location 3
180-05 Hillside Ave
Jamaica, NY 11432-4727
Phone (718) 526-6300
Other practice location 4
215 E 95th St Frnt 1
New York, NY 10128-4077
Phone (212) 996-8000
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
88 -31
Elmhurst, NY 11373-4686
Phone (718) 899-6600
Hospital & facility affiliations
- Long Island Jewish Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298999 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Long Island Jewish Medical Center | Past | Accepting new patients |
Locations
1650 Grand Concourse
Fl 5
Bronx, NY 10457
Phone (718) 239-8383
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
447 Atlantic Ave
Brooklyn, NY 11217
Phone (718) 421-2131
8831 55th Ave
#201
Elmhurst, NY 11373
8831 55th Ave
Elmhurst, NY 11373
8615 Queens Blvd
Flushing, NY 11373
Phone (917) 297-8500
18005 Hillside Ave
Jamaica, NY 11432
Phone (718) 526-6300
3175 23rd St
Long Island City, NY 11106
Phone (718) 956-2200
55 Water St
Fl 2
New York, NY 10041
215 E 95th St
Frnt 1
New York, NY 10128
Phone (212) 996-8000
215 E 95th St
New York, NY 10128
Phone (212) 423-3111
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- pmedvedeva18378@prd.direct.tbh.org
- pmedvedeva38670@direct.acpny.com
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
Organizations & group practices 6
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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245390855
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
-
- Obstetrics Physician
- Bronx, NY
- NPI 1538230073
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1902288798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 WATER ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100410010",
"telephone_number": "646-680-2888",
"fax_number": "516-542-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8831 55TH AVE STE 201",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734686",
"telephone_number": "718-899-6600",
"fax_number": "718-606-3881"
}
],
"practiceLocations": [
{
"address_1": "31-75 23rd Street",
"address_purpose": "LOCATION",
"city": "Astoria",
"state": "NY",
"postal_code": "111064134",
"country_code": "US",
"telephone_number": "718-956-2200",
"fax_number": "718-956-2316",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "447 Atlantic Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112171702",
"country_code": "US",
"telephone_number": "718-858-6300",
"fax_number": "718-858-0145",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180-05 Hillside Ave",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114324727",
"country_code": "US",
"telephone_number": "718-526-6300",
"fax_number": "718-286-3863",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "215 E 95th St Frnt 1",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "101284077",
"country_code": "US",
"telephone_number": "212-996-8000",
"fax_number": "212-423-3904",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDVEDEVA",
"first_name": "POLINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "298999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.