Polina Liss MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

212289 Issued in NY

Legal business name

POLINA LISS MD PLLC

Practice address

305 2ND Ave
Suite 4
New York, NY 10003-2739

Phone

(212) 477-1325

NPI assigned

Aug 13, 2008

Last updated

Oct 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Polina Liss, MDNPI 1225002009

Title

Owner

Phone

(212) 477-1325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Polina Liss

  • Internal Medicine Physician
  • New York, NY
  • NPI 1225002009
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1982850624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SECOND AVENUE",
            "address_2": "SUITE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-477-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 2ND AVE",
            "address_2": "SUITE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032739",
            "telephone_number": "212-477-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLINA LISS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "LISS",
        "authorized_official_first_name": "POLINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-477-1325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "212289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Jeramie Legaspi Poligrates
• Emily Polihrom
• Elizabeth Polin, DDS
• Jessica T Polin, RN
• Richard Polin
• Sai Polineni, MD
• Nicole M Polini, MD
• Alexa Rose Polinsky
• Robert J Polintan, PA
• Laurie Polis, M.D.

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.