DR. LAURA POLIZZI M.D
NPI 1679867022
Pediatrics in Brooklyn, NY

Active since June 02, 2011PECOS Enrolled
110 4TH AVE, BROOKLYN, NY 11217(718) 369-0817 Get Directions Write a Review

NPPES record last updated: June 2, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Laura Polizzi M.d NPPES

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

DR. LAURA POLIZZI M.D (NPI 1679867022) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (261311-1) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679867022
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LAURA POLIZZICredential: M.D
Location Address110 4TH AVEBrooklyn, NY 11217-2787
Mailing Address110 4th AveBrooklyn, NY 11217-2787 · (718) 369-0817
Sole ProprietorNo
Enumeration DateJune 2, 2011
✔ NPI 1679867022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 261311-1
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.
110 4TH AVE, Brooklyn, NY 11217

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Laura Polizzi 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.

Medicare Billing Reassignments

2

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

Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11217 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 5

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

Registered Nurse
110 4TH AVE
BROOKLYN, NY 11217
Clinic/Center (Primary Care)
110 4TH AVE
BROOKLYN, NY 11217
Obstetrics & Gynecology
110 4TH AVE
BROOKLYN, NY 11217
Specialist
110 4TH AVE, LEVEL C
BROOKLYN, NY 11217
Internal Medicine
110 4TH AVE
BROOKLYN, NY 11217

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 Laura Polizzi's NPI number?

The NPI number for Laura Polizzi is 1679867022. It was assigned to this individual provider in the NPPES registry on June 2, 2011.

Where is Laura Polizzi located?

Laura Polizzi practices at 110 4th Ave, Brooklyn, NY 11217. The listed phone number is (718) 369-0817.

What is Laura Polizzi's specialty?

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

Is Laura Polizzi enrolled in Medicare?

Yes. Laura Polizzi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Laura Polizzi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Polizzi reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (New York, NY) and Optum Medical Care, P.C. (Mount Kisco, 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 Laura Polizzi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Laura Polizzi was last updated on June 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.