Polina Brandis, M.S. J.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

775553131 Issued in NY

Practice address

160 Woodcutters LN
Staten Island, NY 10306-6154

Phone

(646) 256-0590

NPI assigned

Oct 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Master of Science

State licenses

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1922435924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WOODCUTTERS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103066154",
            "telephone_number": "646-256-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WOODCUTTERS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103066154",
            "telephone_number": "646-256-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDIS",
        "first_name": "POLINA",
        "credential": "M.S. J.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "775416131",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "775553131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Brancale
• Gabrielle Brancato
• Barbara Brandi, LMSW
• Margarita Brandis, MSED
• Peter Brandis
• Mark Leonard Brandon, M.D.
• Joseph Gerald Brandt Sr., PTA
• Mela Brandt, M.S., CCC/SLP
• David Robert Brandwein, PSYD.
• Pamela Brandwein

• Specialist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.