Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Crystabel Polanco, MD

Individual provider Pediatrics Physician · NPI 1922529296

Crystabel Polanco, MD is a Pediatric Medicine in Passaic, New Jersey. Qualified in 2017, 9 years ago. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

63 Central Ave
Passaic, NJ 07055-8406
Phone: (973) 574-8688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 25MA10855800 (NJ)

Record details

NPI number1922529296
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2017
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022
Mailing address1 Pauline Dr, Nutley, NJ 07110-3123

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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