Antonio Porta, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00743100 Issued in NJ

Practice address

1321 Washington St Ste 1
Hoboken, NJ 07030-5517

Phone

(201) 780-8039

Fax

(201) 907-4851

NPI assigned

Feb 17, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Ortho & Pain Center Inc

  • Chiropractor
  • Jersey City, NJ
  • NPI 1174260731
  Medicare reassignment NPD
• Hoboken Spine Physical Therapy, LLC

  • Physical Medicine & Rehabilitation Physician
  • Hoboken, NJ
  • NPI 1497678825
  NPD (past)
• Triant Acupuncture LLC

  • Acupuncturist
  • Hoboken, NJ
  • NPI 1134059348
  NPD (past)

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1073052452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WASHINGTON ST STE 1",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305517",
            "telephone_number": "201-780-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 WASHINGTON ST STE 1",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070305517",
            "telephone_number": "201-780-8039",
            "fax_number": "201-907-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTA",
        "first_name": "ANTONIO",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-17",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00743100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1073052452",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph A. Pollak, MD
• Michael C. Pollak, MD
• Melissa Ann Pook
• Christine Popilock, OTR/L
• Marina Poretsky, DPT
• Bari Faith Posner, DMD
• Brianna Kristen Potestio
• Dineasha Potter-McQuilkin, MD
• Power Health & Wellness LLC
• Colleen Marie Powers, LCSW

• Chiropractor in Hoboken, NJ
• Providers in Hoboken, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.