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

Michael John Polisin, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1871620112

Michael John Polisin, MD is a Pediatric Adolescent Medicine Physician in Summit, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
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

47 Maple St Ste 107
Summit, NJ 07901-2571
Phone: (908) 273-5866
Fax: (908) 273-5811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence MA49436 (NJ)

Record details

NPI number1871620112
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESJuly 8, 2007
Mailing address47 Maple St, Suite 107, Summit, NJ 07901-2571

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