Active NPI
Morgan Boker-Porpora Goodstadt, MS, RD, CDN, LDN
- Registered Dietitian
- Marina del Rey, CA
National Provider Identifier
1104567601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86171608
- Practice address
- 14060 Panay Way Apt 105
Marina del Rey, CA 90292-7534 - Phone
- (914) 494-6654
- NPI assigned
- Apr 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 10696 | FL | |
| Registered Dietitian | 133V00000X | 011063 | NY | |
| Registered Dietitian | 133V00000X | 86171608 | Primary |
Addresses
Primary practice location
14060 Panay Way Apt 105
Marina del Rey, CA 90292-7534
Mailing address
14060 Panay Way Apt 105
Marina del Rey, CA 90292-7534
Phone (914) 494-6654
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10696 | Other | FL | FLORIDA LDN IDENTIFICATION |
| 86171608 | Other | CDR IDENTIFICATION | |
| 011063 | Other | NY | NEW YORK CDN |
Other names 1
- Morgan Boker-Porpora
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10696 | FL | MD | Dentist |
| 011063 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1104567601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14060 PANAY WAY APT 105",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927534",
"telephone_number": "914-494-6654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14060 PANAY WAY APT 105",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927534",
"telephone_number": "914-494-6654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODSTADT",
"first_name": "MORGAN",
"middle_name": "BOKER-PORPORA",
"credential": "MS, RD, CDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-06",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "10696",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "011063",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86171608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LDN IDENTIFICATION",
"identifier": "10696",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR IDENTIFICATION",
"identifier": "86171608",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK CDN",
"identifier": "011063",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MORGAN",
"last_name": "BOKER-PORPORA",
"credential": "MS, RD, LDN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.