Individual provider Active NPI

Margaret Portela, DPM

  • Foot Surgery Podiatrist
  • Union City, NJ
National Provider Identifier
1104894054
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
MD00276600 Issued in NJ
Practice address
4808 Bergenline Ave
Suite 202
Union City, NJ 07087-5172
Phone
(201) 863-0036
Fax
(201) 863-0727
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X MD00276600 NJ Primary

Addresses

Primary practice location

4808 Bergenline Ave
Suite 202
Union City, NJ 07087-5172

Mailing address

135 Brighton Ave
Suite 2
Kearny, NJ 07032-2028
Phone (201) 998-8008

Other identifiers 2

IdentifierTypeStateIssuer
3354601MedicaidNJ
0039047MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000279 NJ Practitioner - Podiatry 8224014592 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Garden State Cardiology LLCGroup PAC ID 3375675036, 15 clinicians
Debenedictis and Testa, DPM, PAGroup PAC ID 5597742007, 2 clinicians

Practice addresses (Care Compare)

4808 Bergenline Ave
Suite 202
Union City, NJ 07087-5162
Phone (201) 863-0036

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1033
Removal or shaving of skin growth662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD00276600NJMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Garden State Cardiology LLC CurrentSince Oct 4, 2025 Accepting new patients
Debenedictis & Testa, DPM, PA Foot Surgery CurrentSince Jul 1, 2004 Accepting new patients
Hudson Hospital Opco LLC Current Accepting new patients

Locations

550 Newark Ave
Ste 307
Jersey City, NJ 07306
Phone (201) 418-9111

4808 Bergenline Ave
Ste 202
Union City, NJ 07087
Phone (201) 863-0036

Interoperability endpoints

  • Direct secure messaging: margaret.portela@direct.christhospital.md
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGAICD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1104894054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 BRIGHTON AVE",
            "address_2": "SUITE 2",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322028",
            "telephone_number": "201-998-8008",
            "fax_number": "201-863-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4808 BERGENLINE AVE",
            "address_2": "SUITE 202",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070875172",
            "telephone_number": "201-863-0036",
            "fax_number": "201-863-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTELA",
        "first_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD00276600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3354601",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039047",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

Verify at the official NPI Registry.