SAMUEL ANTONIO RODRIGUEZ POLANCO (NPI# 1336771260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336771260 |
| Entity Type | Individual |
| Full Name | SAMUEL ANTONIO RODRIGUEZ POLANCO |
| Credential | SA-C |
| Practice Address |
8824 242nd St Bellerose NY 11426-1241 |
| Practice Telephone | 7813467191 |
| Mailing Telephone | 7813467191 |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2020-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
18-152 | NY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
8824 242ND ST |
| City | BELLEROSE |
| State | NY |
| Zip Code | 11426-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851940597 | Shanti Niketan Inc | Clinic/Center | 236-03 Braddock, Shantiniketan - A Senior Day Care Center, Bellerose, NY 11426 | 2019-09-05 |
| 1558919779 | Azalea Andrews | Licensed Practical Nurse | 86-19 232nd Street, Bellrose, NY 11426 | 2019-08-30 |
| 1477041887 | Danielle Festa | Behavioral Analyst | 245-48b 76th Ave, Bellerose, NY 11426 | 2018-05-01 |
| 1740706654 | Nusaiba Ally | Speech-Language Pathologist | 252-12 72nd Ave, Jamaica, NY 11426 | 2017-08-22 |
| 1417472978 | Bernard Mateo Lapuz | Registered Nurse | 88-12 238th St, Bellerose, NY 11426 | 2017-08-06 |
| 1871034181 | Audrey Mejia | Registered Nurse | 242-16 93rd Ave, Bellerose, NY 11426 | 2017-03-20 |
| 1841742962 | Renee Hamilton-beckford | Health Educator | 9208 242 Street, Floor 3, Bellerose, NY 11426 | 2016-10-25 |
| 1841749546 | Anne Spencer | Registered Nurse | 247-35b 77th Cres., Bellerose, NY 11426 | 2016-09-23 |
| 1801260617 | Braddock Pharmacy LLC | Hospice Care, Community Based | 236-01a Braddock Ave., Bellerose, NY 11426 | 2015-11-17 |
| 1033505540 | Bellerose Rx Inc | Pharmacy | 248-15 Union Turnpike, Bellerose, NY 11426 | 2015-04-10 |
| Find all providers in zip 11426 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611599 | Fritz Damas Francois | Specialist/Technologist, Other | 159 S Lexington Ave Apt 6e, White Plains, NY 10601-4123 | 2020-08-25 |
| 1124650056 | Luis Edgardo Cova Salazar | Specialist/Technologist, Other | 3549 166th St, Flushing, NY 11358-1722 | 2020-02-08 |
| 1073164000 | Freddy Alejandro Hung Balza | Specialist/Technologist, Other | 4046 69th St, Woodside, NY 11377-3836 | 2019-09-20 |
| 1699328401 | Carolina Bejarano Vargas | Specialist/Technologist, Other | 28 Hedgerow Ln, Commack, NY 11725-2731 | 2019-07-20 |
| 1245883040 | Juan Alejandro Lantigua | Specialist/Technologist, Other | 541 W 204th St Apt 3k, New York, NY 10034-4041 | 2019-07-20 |
| 1235782038 | Sergia Melendez | Specialist/Technologist, Other | 2865 University Ave Apt C1, Bronx, NY 10468-2354 | 2019-07-20 |
| 1609429521 | Maria Medina | Specialist/Technologist, Other | 615 Wadleigh Ave, West Hempstead, NY 11552-3714 | 2019-07-19 |
| 1942764998 | Janeth Lebowitz | Specialist/Technologist, Other | 42 Beacon Hill Dr Apt 7a1, Dobbs Ferry, NY 10522-2463 | 2019-01-24 |
| 1144792854 | Rafael Reyes | Specialist/Technologist, Other | 14809 88th Ave Apt 2a, Jamaica, NY 11435-3424 | 2018-12-19 |
| 1174094031 | Ygnacio Trinidad Mosquea Farias | Specialist/Technologist, Other | 811 Pine St Fl 2, Brooklyn, NY 11208-5527 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.