Terry J Polt, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA06995200 Issued in NJ

Practice address

61 Frontage Rd
Hampton, NJ 08827-4001

Phone

(908) 735-2594

NPI assigned

Feb 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NJ

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

Specialty

Family PracticeAlso: Geriatric Medicine

Education

Louisiana State University School of Medicine in New Orleans, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, 129 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hunterdon Medical Center Hospital, Flemington, NJ, CCN 310005
• St Luke's Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• State of New Jersey Omb Centralized Payroll

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Clinton, NJ
  • NPI 1811931504
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates of New Jersey, LLC

  • General Practice Physician
  • Princeton, NJ
  • NPI 1174187728
  Medicare reassignment NPD
• State of New Jersey Omb Centralized Payroll

  dba Greystone Park Psychiatric Hospital

  • Psychiatric Hospital
  • Morris Plains, NJ
  • NPI 1336221878
  NPD
• Hunterdon Medical Center

  • General Acute Care Hospital
  • Flemington, NJ
  • NPI 1922095116
  NPD (past)
• Ves Corporation

  dba Valley View HealthCare & Rehabilitation

  • Skilled Nursing Facility
  • Frenchtown, NJ
  • NPI 1487625208
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hunterdon Medical Center

  • General Acute Care Hospital
  • Flemington, NJ
  • NPI 1922095116
  Care Compare affiliation
• St. Luke's Warren Hospital, Inc.

  • General Acute Care Hospital
  • Phillipsburg, NJ
  • NPI 1760488266
  Care Compare affiliation

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942274949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 FRONTAGE RD",
            "city": "HAMPTON",
            "state": "NJ",
            "postal_code": "088274001",
            "telephone_number": "908-735-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 FRONTAGE RD",
            "city": "HAMPTON",
            "state": "NJ",
            "postal_code": "088274001",
            "telephone_number": "908-735-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLT",
        "first_name": "TERRY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06995200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8748501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Hunterdon Physician Assoc
• Outro Medical East, P.C.
• Oxford Diabetic Supply, Inc.
• Penny Haven LLC (Penny Haven Counseling)
• David R Polizzi
• Nicole Poppert, OTR/L
• Hugh John Prentice, MD
• Catharine E. Randazzo, PH.D.
• Yale Richmond, M.D.
• Ksenia Mary Rogalo, D.O.

• Family Medicine Physician in Hampton, NJ
• Providers in Hampton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.