Active NPI
Monica Polanco
- Occupational Therapist
- New York, NY
National Provider Identifier
1982399069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 027781
- Practice address
- 230 W 79TH St # 123N
New York, NY 10024-6246 - Phone
- (646) 528-8958
- NPI assigned
- Apr 5, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 027781 | NY | Primary |
Addresses
Primary practice location
230 W 79TH St # 123N
New York, NY 10024-6246
Mailing address
PO Box 322
New York, NY 10034-0322
Phone (646) 528-8958
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027781 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1982399069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 322",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100340322",
"telephone_number": "646-528-8958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W 79TH ST # 123N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100246246",
"telephone_number": "646-528-8958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLANCO",
"first_name": "MONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-05",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "027781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.