Active NPI
Bernard Polatsch, MD
- Obstetrics & Gynecology Physician
- Hicksville, NY
National Provider Identifier
1902862691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 091685
- Practice address
- 400 South Oyster Bay Road
Suite 204
Hicksville, NY 11801 - Phone
- (516) 931-4800
- Fax
- (516) 931-7241
- NPI assigned
- Apr 22, 2006
- Sex
- Male
- 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 | 091685 | NY | Primary |
Addresses
Primary practice location
400 South Oyster Bay Road
Suite 204
Hicksville, NY 11801
Mailing address
400 South Oyster Bay Road
Suite 204
Hicksville, NY 11801
Phone (516) 931-4800
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11817 | Other | VYTRA GYN | |
| 091685B73 | Other | HEALTHFIRST | |
| 62186305 | Other | MULTIPLAN | |
| 1C8118 | Other | HEALTH NET | |
| 529551 | Other | EMPIRE | |
| 0047975 | Other | GHI | |
| 529551 | Other | MDNY | |
| 6403684 | Other | CIGNA | |
| 91154 | Other | USH | |
| 4233993 | Other | AETNA | |
| 553291 | Other | HERITAGE | |
| AP196 | Other | OXFORD | |
| 106274 | Other | HIP | |
| 529552 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1902862691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 SOUTH OYSTER BAY ROAD",
"address_2": "SUITE 204",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "11801",
"telephone_number": "516-931-4800",
"fax_number": "516-931-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 SOUTH OYSTER BAY ROAD",
"address_2": "SUITE 204",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "11801",
"telephone_number": "516-931-4800",
"fax_number": "516-931-7241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLATSCH",
"first_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "091685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA GYN",
"identifier": "11817",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "091685B73",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "62186305",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "1C8118",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "529551",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0047975",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "529551",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6403684",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USH",
"identifier": "91154",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4233993",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HERITAGE",
"identifier": "553291",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "AP196",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "106274",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "529552",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hicksville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.