DR. MARTIN POLNEROW D.O. NPI 1013931245

NPI Information

  • NPI: 1013931245
  • Provider Name: DR. MARTIN POLNEROW, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: RAMBLEWOOD CENTER
    1155 RT.73 STE. J
    MOUNT LAUREL, NJ
    ZIP 08054
  • Phone: (856) 235-2505

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NPI Details

DR. Martin Polnerow, D.O. is a family medicine in Mount Laurel, NJ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Martin Polnerow, D.O. NPI is 1013931245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

RAMBLEWOOD CENTER
1155 RT.73 STE. J
MOUNT LAUREL, NJ
ZIP 08054
Phone: (856) 235-2505
Fax: (856) 235-6425

The enumeration date for this NPI number is 7/27/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine25MB023117NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1041934MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
2E06050MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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