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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ELLEN MICHELLE POLYAKOV PA-C
NPI 1649183690
Physician Assistant in Boca Raton, FL

Active since September 22, 2026
2900 N MILITARY TRL STE 107, BOCA RATON, FL 33431(305) 492-7477 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Ellen Michelle Polyakov Pa-c NPPES

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

ELLEN MICHELLE POLYAKOV PA-C (NPI 1649183690) is an individual physician assistant in Boca Raton, Florida, licensed in Florida (PA9121679) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1649183690
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELLEN MICHELLE POLYAKOVCredential: PA-C
Location Address2900 N MILITARY TRL STE 107Boca Raton, FL 33431-6347
Mailing Address6567 Cobia CirBoynton Beach, FL 33437-3641 · (561) 699-7933
Phone(305) 492-7477
Sole ProprietorNo
Enumeration DateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1649183690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9121679
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2900 N MILITARY TRL STE 107, Boca Raton, FL 33431
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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.

MS. IRENE SHIR PA
Physician Assistant (Medical)
2900 N MILITARY TRL STE 107
BOCA RATON, FL 33431
Palm Beach County (917) 747-9595
FAMILY WELLNESS MEDICAL PA
Family Medicine
2900 N MILITARY TRL STE 107
BOCA RATON, FL 33431
Palm Beach County (718) 954-2202

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 Ellen Polyakov's NPI number?

The NPI number for Ellen Polyakov is 1649183690. It was assigned to this individual provider in the NPPES registry on September 22, 2026.

Where is Ellen Polyakov located?

Ellen Polyakov practices at 2900 N Military Trl Ste 107, Boca Raton, FL 33431. The listed phone number is (305) 492-7477.

What is Ellen Polyakov's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ellen Polyakov was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.