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JACQUELINE POLITO
NPI 1154865335
Nurse Practitioner - Adult Health in New Hyde Park, NY

Active since December 07, 2016PECOS EnrolledAccepts Medicare Assignment
1991 MARCUS AVE, 2ND FLOOR, NEW HYDE PARK, NY 11042(516) 354-1600(516) 941-4677 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Polito NPPES

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

JACQUELINE POLITO (NPI 1154865335) is an individual adult health provider in New Hyde Park, New York, licensed in New York (308016) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154865335
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJACQUELINE POLITO
Location Address1991 MARCUS AVE, 2ND FLOORNew Hyde Park, NY 11042-2057
Mailing Address55 Water Street, 2nd Floor Cred DeptNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556
Phone(516) 354-1600
Fax(516) 941-4677
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 7, 2016
Last NPPES UpdateSeptember 25, 2019
✔ NPI 1154865335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 308016
1991 MARCUS AVE, 2ND FLOOR, New Hyde Park, NY 11042
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16010 Bay Pkwy, Suite 901Brooklyn, NY 11204-6079 · Phone (718) 238-2100 · Fax (718) 748-0863
Location 296-10 Metropolitan AveForest Hills, NY 11375-6625 · Phone (718) 459-0400 · Fax (718) 670-6479

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Polito is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375824600
PECOS Enrollment IDI20161229000157
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Rockville Centre, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330259
Location1000 North Village AvenueRockville Centre, NY 11570 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 2

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

UDAY K BHARGAVA MD
Internal Medicine
1991 MARCUS AVE, 2ND FLOOR
NEW HYDE PARK, NY 11042
Nassau County (516) 354-1600
PRASIJA MANOJ DNP FNP - C
Nurse Practitioner (Family)
1991 MARCUS AVE, 2ND FLOOR
NEW HYDE PARK, NY 11042
Nassau County (516) 354-1600

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 Jacqueline Polito's NPI number?

The NPI number for Jacqueline Polito is 1154865335. It was assigned to this individual provider in the NPPES registry on December 7, 2016.

Where is Jacqueline Polito located?

Jacqueline Polito practices at 1991 Marcus Ave, 2nd Floor, New Hyde Park, NY 11042. The listed phone number is (516) 354-1600.

What is Jacqueline Polito's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jacqueline Polito enrolled in Medicare?

Yes. Jacqueline Polito is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacqueline Polito affiliated with any hospitals?

According to CMS data, Jacqueline Polito is affiliated with Mercy Medical Center.

When was this NPI record last updated?

The NPPES record for Jacqueline Polito was last updated on September 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.