J Nicholas Porcello, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

051311 Issued in NY

Practice address

Lionel R. John Health Center
987 RC Hoag Dr
Salamanca, NY 14779

Phone

(716) 945-5894

Fax

(716) 945-5889

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1053369983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LIONEL R. JOHN HEALTH CENTER",
            "address_2": "987 RC HOAG DR",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "14779",
            "telephone_number": "716-945-5894",
            "fax_number": "716-945-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIONEL R. JOHN HEALTH CENTER",
            "address_2": "987 RC HOAG DR",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "14779",
            "telephone_number": "716-945-5894",
            "fax_number": "716-945-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCELLO",
        "first_name": "J",
        "middle_name": "NICHOLAS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WNY",
            "identifier": "000527781001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "00001783898",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA/HEALTHPLEX",
            "identifier": "00025887504",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Healthcare
• Peter C Perez, DDS
• Jordan Perry, MD
• Victoria Florence Petherick, LCSW
• Sarah Pinchoff, MSW
• Lori Ann Quigley
• Michael Reardon, LMHC
• Jenna M Ring, N.P.
• Rite Aid of New York Inc
• Kathrin Elizabeth Rogers, LMSW

• Dentist in Salamanca, NY
• Providers in Salamanca, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.