Active NPI
Michael A Pollack, MD
- Diagnostic Radiology Physician
- Nutley, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA07746300
- Practice address
- 20 High St
Nutley, NJ 07110 - Phone
- (973) 284-0020
- Fax
- (973) 284-6310
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 25MA07746300 | NJ | Primary |
Addresses
Primary practice location
20 High St
Nutley, NJ 07110
Mailing address
777 Passaic Ave
Suite 360
Clifton, NJ 07012-1804
Phone (973) 284-0020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0037621 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
116 Park St
Montclair, NJ 07042-2930
Phone (469) 925-2709
197 Ridgedale Ave
Cedar Knolls, NJ 07927-2111
Phone (973) 695-1290
210 W 101St St
Apt 15L
New York, NY 10025-5041
Phone (443) 436-1116
310 Livingston St
Brooklyn, NY 11217-1019
Phone (469) 925-2709
61 E 77TH St
New York, NY 10075-1817
Phone (212) 772-3111
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.08 of 100
- Quality
- 62.84
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.64 of 100
- Quality
- 55.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.95 of 100
- Quality
- 75
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Radiology Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Hudson Valley Radiology Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
| The New Jersey Imaging Network, LLC | Current | Accepting new patients | |
| Lenox Hill Radiology & Medical Imaging Associates, PC | Diagnostic Radiology | Current | Accepting new patients |
| Delaware Radiology Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Maryland Imaging Network PC | Diagnostic Radiology | Current | Accepting new patients |
| New York Private Medical Imaging Practice, PLLC | Past | Accepting new patients | |
| Park West Radiology, PC | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Imaging Associates of North Jersey PA | Past | Accepting new patients | |
| New York University Medical Center Faculty Practice Radiology | Diagnostic Radiology | Past | Accepting new patients |
Locations
27443 Network Pl
Chicago, IL 60673
29493 Network Pl
Chicago, IL 60673
27695 Network Pl
Chicago, IL 60673
27424 Network Pl
Chicago, IL 60673
519 Broadway
Bayonne, NJ 07002
Phone (201) 354-1684
197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700
17 White Horse Pike
Ste 9
Haddon Hgts, NJ 08035
Phone (856) 546-1177
116 Park St
Montclair, NJ 07042
Phone (973) 661-4674
20 High St
Nutley, NJ 07110
Phone (973) 281-1881
345 Woodcliff Dr
Ste 2A
Fairport, NY 14450
13528 37th Ave
Flushing, NY 11354
Phone (443) 220-3535
8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532
18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002
61 E 77th St
New York, NY 10075
Phone (212) 772-2130
315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300
Interoperability endpoints
- eis@montrad.medinformatixdirect.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- Cedar Knolls, NJ
- NPI 1629327887
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1821036807
-
- Diagnostic Radiology Physician
- Silver Spring, MD
- NPI 1396707782
NY
-
- Diagnostic Radiology Physician
- New City, NY
- NPI 1174574115
-
- Diagnostic Radiology Physician
- Nutley, NJ
- NPI 1194810531
-
- Radiology Clinic/Center
- Fair Lawn, NJ
- NPI 1841381407
-
- Specialist
- New York, NY
- NPI 1740459593
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1114038353
-
- Diagnostic Ultrasound Physician
- New York, NY
- NPI 1003855404
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1992899447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 PASSAIC AVE",
"address_2": "SUITE 360",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070121804",
"telephone_number": "973-284-0020",
"fax_number": "973-284-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HIGH ST",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "07110",
"telephone_number": "973-284-0020",
"fax_number": "973-284-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA07746300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0037621",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.