GERALDO POLANCO (NPI# 1992398614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992398614 |
| Entity Type | Individual |
| Full Name | GERALDO POLANCO |
| Gender | Male |
| Credential | DDS |
| Practice Address | 111 E 210th St Bronx NY 10467-2401 |
| Practice Telephone | 7189204321 |
| Mailing Address | 111 E 210th St Bronx NY 10467-2401 |
| Mailing Telephone | 7189204321 |
| Certification Date | 2021-02-08 |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2021-02-12 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address | 111 E 210TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295320802 | Sharon Bruoha | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2021-03-05 |
| 1831783976 | Jimmy Liu | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2021-03-01 |
| 1790379089 | Whitney Anastasia Almeida | Nurse Practitioner · Family | 111 E 210th St, Bronx, NY 10467-2401 | 2021-02-26 |
| 1093309585 | Iya Mohamed Gabre | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2021-02-24 |
| 1609460427 | Donovan Antonio Chin Jr. | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2021-02-22 |
| 1497348577 | Liya Tarverdi | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2021-02-18 |
| 1205429644 | Nathaniel Friedman | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2021-02-17 |
| 1396338836 | Douglas Arnaud-Anderberg Lindley II | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2021-02-16 |
| 1881287563 | Jesse Halpern | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2021-02-14 |
| 1790378438 | Maor Gutwaks | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2021-02-13 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174079404 | Sarabjeet Singh Suri | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467-2401 | 2016-08-28 |
| 1255709127 | Diana Braver | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467-2401 | 2015-09-09 |
| 1356736771 | Daniel Noam Lax | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467-2401 | 2015-04-02 |
| 1730460320 | Asiya Sarasa Tschannerl | Family Medicine | 3544 Jerome Avenue, Residency Program In Social Medicine, Bronx, NY 10467-2401 | 2011-09-08 |
| 1164750527 | Aileen Park | Psychiatry & Neurology · Psychiatry | 111 E. 210th St., Department of Oncology - Gold Zone, Bronx, NY 10467-2401 | 2009-11-24 |
| 1053555433 | Priya Narayanan Jain · Priya Jain | Pediatrics | 3415 Bainbridge Avenue, Children's Hospital At Montefiore, Bronx, NY 10467-2401 | 2009-04-29 |
| 1356530539 | Sergio L. Baerga | Surgery | 3400 Bainbridge Ave. 4th Floor, Montefiore Medical Center - Department of Surgery, Bronx, NY 10467-2401 | 2007-10-23 |
| 1073708392 | Montefiore Medical Center | General Acute Care Hospital | 111 East 210th Street, Montefiore Medical Center, Bronx, NY 10467-2401 | 2007-09-10 |
| 1588859870 | Montefiore Medical Center | Clinic/Center · Multi-Specialty | 111 East 210th Street, Montefiore Medical Center, Bronx, NY 10467-2401 | 2007-09-10 |
| 1063606739 | Montefiore Medical Center | Clinic/Center · Primary Care | 111 East 210th Street, Montefiore Medical Center, Bronx, NY 10467-2401 | 2007-09-05 |
| Find all providers in zip 10467-2401 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1952915043 | Nicole Elizabeth Da Silva | Psychologist | 3424 Kossuth Avenue, Behavioral Health Outpatient Clinic, 4b, Bronx, NY 10467 | 2020-09-04 |
| 1760095780 | Swapnil Singh | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2020-08-28 |
| 1417571639 | Samaritan Daytop Village, Inc. | Clinic/Center · Rehabilitation, Substance Use Disorder | 3050 White Plains Road, Bronx, NY 10467 | 2020-06-03 |
| 1770105728 | Lamiaa Abdallah | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2020-05-13 |
| 1225666993 | Rimon Golovey | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2020-03-30 |
| 1710515374 | Radhika Sekhri | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, New York City, NY 10467 | 2020-03-30 |
| 1205463213 | Mina Mikhael | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2020-03-27 |
| 1831725845 | Laura F Rosado Albacarys | Student in an Organized Health Care Education/Training Program | 111 East 210th Street, Bronx, NY 10467 | 2020-03-21 |
| 1619503737 | Bianca P Espinosa | Student in an Organized Health Care Education/Training Program | 111 East 210th Street Bronx, Ny 10467, New York, NY 10467 | 2020-03-20 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295320802 | Sharon Bruoha | 111 E 210th St, Bronx, NY 10467-2401 | 2021-03-05 | |
| 1104411149 | Ana Cristina Zapata Caceres | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2021-03-02 | |
| 1538753652 | Victor Sobolev | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2021-03-01 | |
| 1811581960 | Michelle Tarr | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2021-03-01 | |
| 1831783976 | Jimmy Liu | 111 E 210th St, Bronx, NY 10467-2401 | 2021-03-01 | |
| 1942894167 | Michelle Eve Feldman | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2021-02-28 | |
| 1174117493 | Nicole Jones | 1775 Grand Concourse Fl 6, Bronx, NY 10453-8202 | 2021-02-26 | |
| 1205420577 | Erika Magally Urgiles | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2021-02-26 | |
| 1699369983 | Kimia Ahmadian | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2021-02-26 | |
| 1811581176 | Kirran Clifford Tiwari | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2021-02-25 | |
| Find all providers in BRONX | ||||
| City | BRONX |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528360765 | Geraldo Enrique Holguin · Geraldo Enrique Holguin Terrero | Internal Medicine · Pulmonary Disease | 725 Glenwood Dr Ste E500, Chattanooga, TN 37404-1138 | 2010-11-20 |
| 1023054103 | Jaime Geraldo Yeverino-Flores · Jaime Geraldo Yeverino | Internal Medicine | 176 First Avenue North, Ilwaco, WA 98624 | 2006-06-20 |
| 1861090854 | Ana Maria Polanco · Ana Maria Polanco Gonzalez | Registered Nurse | 10575 68th Ave Ste A2, Seminole, FL 33772-6023 | 2020-10-13 |
| 1407364060 | Marcus A Polanco · Marcus A Polanco | Behavior Analyst | 224 W 35th St Fl 11, New York, NY 10001-2533 | 2018-01-17 |
| 1710973698 | Prido J Polanco · Prido Polanco | General Practice | 101 Cole Ave, Bisbee, AZ 85603-1327 | 2005-09-26 |
| 1699937110 | Oficina Medica Dr Polanco Csp · Oficina Medica Dr Polanco Csp | Clinic/Center · Medical Specialty | 14 Calle Gonzalo Marin, Arecibo, PR 00612-4703 | 2008-06-26 |
| 1023637493 | Dalvert Hugo Polanco · Dalvert Hugo Polanco Troncoso | General Practice | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2020-04-15 |
| 1164590816 | Geraldo Gonzalez | General Practice | Carr 129 Km 21.2, Lares, PR 00669-0916 | 2006-12-01 |
| 1588066773 | Geraldo Cruz | Case Manager/Care Coordinator | 1301 5th Ave, New York, NY 10029-3119 | 2014-09-19 |
| 1346540309 | Geraldo Pagan | Counselor · Mental Health | 15 Union St, Ste. 404, Lawrence, MA 01840-1866 | 2010-10-25 |
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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.