Jayne Elizabeth Poltorack, RN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

280977-1 Issued in NY

Practice address

5900 Arlington Ave
Apartment 22J
Bronx, NY 10471-1302

Phone

(914) 390-0082

NPI assigned

Jul 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1992905582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 ROUTE 17K",
            "city": "BLOOMINGBURG",
            "state": "NY",
            "postal_code": "127213206",
            "telephone_number": "845-325-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 ARLINGTON AVE",
            "address_2": "APARTMENT 22J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711302",
            "telephone_number": "914-390-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLTORACK",
        "first_name": "JAYNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "280977-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02729688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ma Cristina Vermon Polo, P.T.
• Bennett Pologe, PH.D.
• Anatoly Polosatkin, DO
• Polsak Corporation
• Polsak Corporation
• Svetlana Polvanova
• Thomas Joseph Polykarpous, OTR/L
• Margaret Pomah
• Emily Pomales
• Marcelo O Pomares, M.D.

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.