Robert Paul Polowczyk, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

035365 Issued in NY

Practice address

2110 Northern Blvd
Suite 203
Manhasset, NY 11030-3502

Phone

(516) 627-2606

Fax

(516) 627-3830

NPI assigned

Mar 14, 2007

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: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972637940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 NORTHERN BLVD",
            "address_2": "SUITE 203",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303502",
            "telephone_number": "516-627-2606",
            "fax_number": "516-627-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 NORTHERN BLVD",
            "address_2": "SUITE 203",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303502",
            "telephone_number": "516-627-2606",
            "fax_number": "516-627-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOWCZYK",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustave J Pogo, MD
• Caroline Paige Polito
• Martha H Pollack
• Stephanie Leigh Pollack, M.D.
• Nicolette Marie Pollock, PA-C
• Aron Benjamin Polyak, RN
• Caroline Suzanne Popielaski
• Claire Michelle Popplewell, M.D.
• Barbara Susan Porreca, NP
• Kristen Porreca

• General Practice Dentistry in Manhasset, NY
• Providers in Manhasset, NY by specialty
• General Practice Dentistry in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.