DEAN C POLISTINA MD PLLC (NPI# 1104190065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104190065 |
| Entity Type | Organization |
| Organization Name | DEAN C POLISTINA MD PLLC |
| Practice Address |
200 W 57th St Suite 1410 New York NY 10019-3211 |
| Practice Telephone | 2129576933 |
| Practice Fax Number | 2129573477 |
| Mailing Telephone | 2129576933 |
| Mailing Fax Number | 2129573477 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |
| Authorized Official Name | DR. DEAN C POLISTINA (SOLE MEMBER) |
| Authorized Official Telephone | 2129576933 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 193200 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | BC/BS | 06416 | 01 |
| NY | OXFORD | P535102 | 01 |
| NY | HIP | PRIS 31763P | 01 |
| NY | AETNA | 5598510 | 01 |
| NY | 01636277 | 05 |
| Street Address |
200 W 57TH ST SUITE 1410 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112974 | Dominick Servedio | Audiologist | 200 W 57th St, Suite 910, New York, NY 10019-3211 | 2005-05-24 |
| 1619484706 | Monica Harilall | Physician Assistant | 200 W 57th St, New York, NY 10019-3211 | 2018-01-10 |
| 1255886198 | Jessica Berarducci | Nurse Practitioner | 200 W 57th St, Suite 200, New York, NY 10019-3211 | 2016-08-21 |
| 1033662473 | Asya Gutman | Physician Assistant | 200 W 57th St, Suite 608, New York, NY 10019-3211 | 2016-08-02 |
| 1730532557 | Life & Loss Mental Health Counseling, LLC | Counselor | 200 W 57th St, Suite 1310, New York, NY 10019-3211 | 2016-07-16 |
| 1801258413 | Dermatology Laser Group, Pllc. | Specialist | 200 W 57th St, Suite 510, New York, NY 10019-3211 | 2016-03-23 |
| 1801260682 | Hapworth Psychiatric Medical Pllc | Psychiatry & Neurology | 200 W 57th St, Suite 502, New York, NY 10019-3211 | 2015-11-17 |
| 1316319916 | Benjamin Hamburger | Psychologist | 200 W 57th St, 603, New York, NY 10019-3211 | 2015-10-22 |
| 1558732495 | New York Pain Consultants, LLC | Physical Medicine & Rehabilitation | 200 W 57th St, Suite 608, New York, NY 10019-3211 | 2015-10-19 |
| 1033580220 | Carnegie Oral & Maxillofacial Surgery, Pllc | Clinic/Center | 200 W 57th St, Suite 804, New York, NY 10019-3211 | 2015-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
| 1851876213 | James Chelnis Md PC | Ophthalmology | 110 E 40th St Rm 404, New York, NY 10016-1817 | 2018-10-01 |
| 1174037758 | Oculus Medical Eye Care PC | Ophthalmology | 139 Centre St Ste 618, New York, NY 10013 | 2017-11-19 |
| 1376054007 | Hudson Yards Surgery Center, LLC | Ophthalmology | 450 West 31st Street, 2s, New York, NY 10001 | 2017-10-20 |
| 1730617614 | Successful Vision Corp | Ophthalmology | 252 W 79th St, New York, NY 10024-6102 | 2017-05-23 |
| 1356877781 | Kunyong Xu | Ophthalmology | 1305 York Ave 11th Floor, Weill Cornell Eye Associates, New York, NY 10021 | 2017-05-04 |
| 1356717441 | Jose Quintero | Ophthalmology | 85 E 10th St Apt L, New York, NY 10003-5457 | 2015-08-12 |
| 1669850731 | Jane Song | Ophthalmology | 310 E 14th St Ste 603s, New York, NY 10003-4284 | 2015-05-11 |
| 1023404175 | Aliaa Abdelhakim Hamed | Ophthalmology | 635 W 165th St # 96, New York, NY 10032 | 2015-04-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.