MICHAEL JOHN POLISIN M.D.
NPI 1871620112
Pediatrics - Adolescent Medicine in Summit, NJ

Active since February 27, 2007
47 MAPLE ST, SUITE 107, SUMMIT, NJ 07901(908) 273-5866(908) 273-5811 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael John Polisin M.d. NPPES

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

MICHAEL JOHN POLISIN M.D. (NPI 1871620112) is an individual adolescent medicine provider in Summit, New Jersey, licensed in New Jersey (MA49436) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1871620112
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameMICHAEL JOHN POLISINCredential: M.D.
Location Address47 MAPLE ST, SUITE 107Summit, NJ 07901-2571
Mailing Address47 Maple St, Suite 107Summit, NJ 07901-2571 · (908) 273-5866 · Fax (908) 273-5811
Fax(908) 273-5811
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1871620112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in NJ · MA49436
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
47 MAPLE ST, Summit, NJ 07901

Other Providers at the Same Location NPPES 19

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

Psychiatry & Neurology (Neurology)
47 MAPLE ST, SUITE 104
SUMMIT, NJ 07901
Pediatrics (Pediatric Cardiology)
47 MAPLE ST
SUMMIT, NJ 07901
Physical Therapist
47 MAPLE ST
SUMMIT, NJ 07901
Chiropractor
47 MAPLE ST, SUITE 103
SUMMIT, NJ 07901
Physical Therapist
47 MAPLE ST, STE 108
SUMMIT, NJ 07901
Internal Medicine
47 MAPLE ST
SUMMIT, NJ 07901
Pediatrics (Adolescent Medicine)
47 MAPLE ST, SUITE 107
SUMMIT, NJ 07901
Physician Assistant
47 MAPLE ST, SUITE 406
SUMMIT, NJ 07901

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 Michael Polisin's NPI number?

The NPI number for Michael Polisin is 1871620112. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Michael Polisin located?

Michael Polisin practices at 47 Maple St Suite 107, Summit, NJ 07901. The listed phone number is (908) 273-5866.

What is Michael Polisin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Michael Polisin was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.