Alexander Polyakov, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OT025024 Issued in PA

Practice address

400 N 17TH St Ste 300
Allentown, PA 18104-5052

Phone

(610) 969-3500

Fax

(610) 969-3605

NPI assigned

Mar 23, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1922946839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 OAK ST",
            "city": "DELAVAN",
            "state": "WI",
            "postal_code": "531151238",
            "telephone_number": "224-616-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N 17TH ST STE 300",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045052",
            "telephone_number": "610-969-3500",
            "fax_number": "610-969-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLYAKOV",
        "first_name": "ALEXANDER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT025024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Joel Pollan, O.D.06
• Mary B Pollard, CRNP
• Paul F Pollice, MD
• Adrienne Pollner, BS
• Cynthia J Poluka
• Dan Popescu, M.D.
• Laurence Dale Popowich, DDS
• Marie H Popp, CRNP
• Amy L Porambo, PT
• Leslie H Porambo, LPC

• Family Medicine Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.