SARAH BROADDUS POLLACH (NPI# 1538306089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538306089 |
| Entity Type | Individual |
| Full Name | SARAH BROADDUS POLLACH |
| Credential | N.P. |
| Practice Address |
3000 Marcus Ave Ste 2w15 New Hyde Park NY 11042-1005 |
| Mailing Address |
2280 Opitz Blvd Suite 220 Woodbridge VA 22191-3362 |
| Practice Telephone | 8552014988 |
| Mailing Telephone | 7035908300 |
| Mailing Fax Number | 7035908301 |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0024167866 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0024167866 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2280 Opitz Blvd, Suite 220, Woodbridge, VA 221913362 | 7035908300 | 7035908301 |
| Street Address |
3000 MARCUS AVE STE 2W15 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336126606 | Ingenai Francis | Physician Assistant | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2005-12-28 |
| 1386257558 | Elizabeth Villanyi | Dietitian, Registered | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2020-08-27 |
| 1699393579 | Irma Diasamidze | Nurse Practitioner | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2020-07-08 |
| 1124503669 | Boahen Owusu Kwakye | Family Medicine | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2018-10-01 |
| 1801301197 | Stella Goldgisser | Nurse Practitioner | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2017-12-07 |
| 1821533761 | Evelyn Filpo | Clinical Nurse Specialist | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2017-01-02 |
| 1467901165 | Hannah Grace Rush | Nurse Practitioner | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2016-09-23 |
| 1437605664 | Olamide Tubi | Nurse Practitioner | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2016-08-28 |
| 1164975801 | Guillermo Diaz | Nurse Practitioner | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2016-07-29 |
| 1174987697 | Hsin-ju Lee | Nurse Practitioner | 3000 Marcus Ave Ste 2w15, New Hyde Park, NY 11042-1005 | 2016-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1043847072 | Sherly Shaji Varghese | Nurse Practitioner | 541 Beech St, New Hyde Park, NY 11040-3825 | 2020-03-27 |
| 1992335277 | Nike Elizabeth Akinjero | Nurse Practitioner | 1981 Marcus Ave Ste 100, New Hyde Park, NY 11042-1074 | 2020-01-25 |
| 1972142313 | Ann Marie Lanza-bisciello | Nurse Practitioner | 1513 Highland Ave, New Hyde Park, NY 11040-3941 | 2020-01-02 |
| 1578108338 | Faye Marie Daa | Nurse Practitioner | 812 New Hyde Park Rd, New Hyde Park, NY 11040-3204 | 2019-11-15 |
| 1851863534 | Laura Ashley Padrone | Nurse Practitioner | 27005 75th Avenue, New Hyde Park, NY 11040 | 2018-12-19 |
| 1861982134 | Joanne St. Pierre | Nurse Practitioner | 2001 Marcus Ave Ste N210, New Hyde Park, NY 11042-1035 | 2018-05-13 |
| 1447764998 | Susana Linda Hoyos | Nurse Practitioner | 6 Ohio Dr Ste 201, New Hyde Park, NY 11042-1129 | 2017-11-20 |
| 1407369788 | Soyon Kim | Nurse Practitioner | 1991 Marcus Ave Ste M201, New Hyde Park, NY 11042-3000 | 2017-11-09 |
| 1669984258 | Karen Brooks | Nurse Practitioner | 410 Lakeville Rd Ste 206, New Hyde Park, NY 11042-1122 | 2017-11-03 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
Please comment or provide details below to improve the information on SARAH BROADDUS POLLACH.
| 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.