| Marley Polche, PA-C | |
|
560 1st Ave, New York, NY 10016-6402 | |
| (212) 263-0250 | |
| Not Available |
| Full Name | Marley Polche |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 560 1st Ave, New York, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326370206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00622600 (New Jersey) | Primary |
| 363A00000X | Physician Assistant | 013745 (New York) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Am Pm Walk In Urgent Care Clinic | 5092954602 | 79 |
| Hackensack Meridian Health Medical Group - Specialty Care Pc | 9133032519 | 1901 |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Entity Name | Am PM Walk in Urgent Care Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073853859 PECOS PAC ID: 5092954602 Enrollment ID: O20130611000675 |
| Entity Name | Nes Georgia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043616675 PECOS PAC ID: 0345210001 Enrollment ID: O20150108000814 |
| Entity Name | Small Hospital Innovations LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20250121000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Marley Polche, PA-C 331 Newman Springs Road, Bldg. 2, Suite 220, Red Bank, NJ 07701 Ph: (732) 807-0877 | Marley Polche, PA-C 560 1st Ave, New York, NY 10016-6402 Ph: (212) 263-0250 |
Mr. Martin Haynes Nicol Sr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2367-69 2nd Ave, New York, NY 10035 Phone: 212-876-2300 Fax: 212-369-8209 |
Mrs. Rachel T. Freeman, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 160 E 53rd St, 3rd Floor, New York, NY 10022 Phone: 212-610-0067 |
Geraldine Deguzman-javier, RPAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16th St. And 1st Ave., New York, NY 10003 Phone: 212-420-2121 |
Allison C. Santhouse, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 710, New York, NY 10022 Phone: 212-750-8900 Fax: 908-281-7796 |
Sarah E. Mccord, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 535 E 70th St, New York, NY 10021 Phone: 212-606-1585 Fax: 917-260-3185 |
Miss Sharona Deborah Kashimallak, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 462 1st Ave, New York, NY 10016 Phone: 516-578-9951 |
Rena Dymersky, RPA-C, MS Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Gustave L Levy Pl, New York, NY 10029 Phone: 212-241-6500 |