JACQUELINE POLITO
NPI 1154865335
Nurse Practitioner - Adult Health in New Hyde Park, NY
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
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacqueline Polito reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roslyn, NY 11576
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Chs Physician Partners PC
- 944 clinicians in this Medicare group
New York, NY 10128
- Reassigned Medicare billing, New York enrollment
- 724 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYPhysician 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.
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.
NEW HYDE PARK, NY 11042
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.
Which organizations bill Medicare for Jacqueline Polito's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Polito reassigns Medicare benefits to 2 organizations: Chs Physician Partners, P.C (Roslyn, NY) and Advantagecare Physicians PC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Polito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 7 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.
# Jacqueline Polito · NPI 1154865335
Adult Health physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since December 7, 2016.
## Identity
- **NPI:** 1154865335 (Entity type: Individual)
- **Enumerated:** December 7, 2016
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 308016 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1991 MARCUS AVE, 2ND FLOOR, New Hyde Park, NY 11042-2057
- **Phone:** (516) 354-1600 · **Fax:** (516) 941-4677
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Chs Physician Partners, P.C (NPI 1164585725, Roslyn, NY); Advantagecare Physicians PC (NPI 1336578772, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 25, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1154865335) · Data from the CMS NPPES public registry.