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SURMILENA POLANCO DDS
NPI 1447396742
Dentist in Passaic, NJ

Active since January 30, 2007PECOS Enrolled
183 JEFFERSON ST, 2ND FLOOR, PASSAIC, NJ 07055(973) 472-1010(973) 473-6232 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Surmilena Polanco Dds NPPES

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

SURMILENA POLANCO DDS (NPI 1447396742) is an individual dentist in Passaic, New Jersey, licensed in New Jersey (22D102282700) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447396742
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSURMILENA POLANCOCredential: DDS
Location Address183 JEFFERSON ST, 2ND FLOORPassaic, NJ 07055
Mailing Address183 Jefferson St, 2nd FloorPassaic, NJ 07055 · (973) 472-1010 · Fax (973) 473-6232
Phone(973) 472-1010
Fax(973) 473-6232
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJune 5, 2008
✔ NPI 1447396742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NJ · 22D102282700
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
183 JEFFERSON ST, Passaic, NJ 07055
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Other Identifiers 1

Medicaid0077933NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surmilena Polanco Dds 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Surmilena Polanco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alejandro Williams Dental Office PC
11 mi
Dental
1624 UNIVERSITY AVE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1508037466 (718) 294-3725
43 Chruch Street Dental PC
13 mi
Dental
1776 BOSTON RD STE 1A
Bronx, NY 10460
  • Reassigned Medicare billing, New York enrollment
  • 21 clinicians in this Medicare group
NPI 1356097869 (347) 271-4840

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07055 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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

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

VIRTUOSO DENTAL CARE LLC
Dentist
183 JEFFERSON ST
PASSAIC, NJ 07055
Passaic County (973) 472-1010

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 Surmilena Polanco's NPI number?

The NPI number for Surmilena Polanco is 1447396742. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Surmilena Polanco located?

Surmilena Polanco practices at 183 Jefferson St 2nd Floor, Passaic, NJ 07055. The listed phone number is (973) 472-1010.

What is Surmilena Polanco's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Surmilena Polanco enrolled in Medicare?

Yes. Surmilena Polanco is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Surmilena Polanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Surmilena Polanco reassigns Medicare benefits to 2 organizations: Alejandro Williams Dental Office PC (Bronx, NY) and 43 Chruch Street Dental PC (Bronx, 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 Surmilena Polanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Surmilena Polanco accept?

Health plans from Humana list Surmilena Polanco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Surmilena Polanco was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.