Individual provider Active NPI

Michael A Pollack, MD

  • Diagnostic Radiology Physician
  • Nutley, NJ
National Provider Identifier
1992899447
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
25MA07746300 Issued in NJ
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

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0037621MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040406001529 NY Practitioner - Diagnostic Radiology 2860485786 Reassigns benefits to 6 organizations
I20040818000059 NJ Practitioner - Diagnostic Radiology 2860485786 Reassigns benefits to 3 organizations

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
Delaware Radiology Associates PAGroup PAC ID 1557620036, 61 clinicians
The New Jersey Imaging Network, LLCGroup PAC ID 2860633492, 68 clinicians
Maryland Imaging Network PCGroup PAC ID 6103259304, 79 clinicians
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

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 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75.64 of 100Reported as group
Quality
55.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
75
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
The New Jersey Imaging Network, LLC CurrentSince Jan 1, 2023 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Mar 6, 2023 Accepting new patients
Delaware Radiology Associates PA Diagnostic Radiology CurrentSince Mar 1, 2026 Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Jan 10, 2024 Accepting new patients
New York Private Medical Imaging Practice, PLLC Past Accepting new patients
Park West Radiology, PC Diagnostic Radiology PastSince Jul 1, 2008 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.