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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

NINA M POLIAK M.D.
NPI 1033445614
Pediatrics in Wilkes Barre, PA

Active since November 02, 2009PECOS Enrolled
169 N PENNSYLVANIA AVE, WILKES BARRE, PA 18701(570) 491-0126(570) 230-0013 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2026, Oct 19, 2016 (2 updates tracked since 2016).

About Nina M Poliak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NINA M POLIAK M.D. (NPI 1033445614) is an individual pediatrics provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD435420) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033445614
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNINA M POLIAKCredential: M.D.
Location Address169 N PENNSYLVANIA AVEWilkes Barre, PA 18701-3603
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Phone(570) 491-0126
Fax(570) 230-0013
Sole ProprietorNo
Enumeration DateNovember 2, 2009
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1033445614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD435420
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License MT194363 (PA)
169 N PENNSYLVANIA AVE, Wilkes Barre, PA 18701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nina M Poliak M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA LYNNETTE HOFFMAN FNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
SUSAN KUPSTAS CRNP
Nurse Practitioner (Family)
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
SCARLET D PUJOLS RECIO CCHW
Community Health Worker
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
CARLOS LUIS OBERTO M.D
Pediatrics
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
FAIZA HASSAN MD
Internal Medicine
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
STEPHANIE A GILL MD
Family Medicine
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
MR. MICHAEL J MUCCIOLO
Pharmacist
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (570) 491-0126
MICHAEL REGAN DMD
Dentist
169 N PENNSYLVANIA AVE
WILKES BARRE, PA 18701
Luzerne County (507) 491-0126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nina Poliak's NPI number?

The NPI number for Nina Poliak is 1033445614. It was assigned to this individual provider in the NPPES registry on November 2, 2009.

Where is Nina Poliak located?

Nina Poliak practices at 169 N Pennsylvania Ave, Wilkes Barre, PA 18701. The listed phone number is (570) 491-0126.

What is Nina Poliak's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nina Poliak enrolled in Medicare?

Yes. Nina Poliak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nina Poliak was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.