Individual provider Active NPI

Robert Andrew Portadin, M.D.

  • Obstetrics & Gynecology Physician
  • Freehold, NJ
National Provider Identifier
1194743682
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
32693 Issued in NJ
Practice address
501 Ironbridge Rd
Suite 10
Freehold, NJ 07728
Phone
(732) 431-2999
Fax
(732) 431-2993
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 32693 NJ Primary

Addresses

Primary practice location

501 Ironbridge Rd
Suite 10
Freehold, NJ 07728

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795

Other practice location 1

245 Main St Ste A
Matawan, NJ 07747-2006
Phone (732) 566-9466

Other practice location 2

510 Bridge Plaza Dr
Manalapan, NJ 07726-1745
Phone (732) 536-5552

Other practice location 3

312 Applegarth Rd Ste 102
Monroe Twp, NJ 08831-5347
Phone (609) 860-0600

Other identifiers 2

IdentifierTypeStateIssuer
P00966362OtherNJRAILROAD MEDICARE PTAN
0969303MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.portadin@axia.eclinicaldirectplus.com Direct

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101129000547 NJ Practitioner - Obstetrics/Gynecology 6305938101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

501 Iron Bridge Rd
Suite 10
Freehold, NJ 07728-5305
Phone (732) 431-2999

Hospital & facility affiliations

  • Centrastate Medical Center Hospital, Freehold, NJ, CCN 310111
  • Bayshore Medical Center Hospital, Holmdel, NJ, CCN 310112
  • University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32693NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology CurrentSince Sep 6, 2012 Accepting new patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Sep 6, 2012 Accepting new patients

Locations

501 Iron Bridge Rd
Ste 10
Freehold, NJ 07728
Phone (732) 431-2999

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

510 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-5552

245 Main St
Ste A
Matawan, NJ 07747
Phone (732) 566-9466

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

Interoperability endpoints

  • Direct secure messaging: robert.portadin@axia.eclinicaldirectplus.com
  • Direct secure messaging: rportadin425395@direct.ahsys.org

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1194743682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 IRONBRIDGE RD",
            "address_2": "SUITE 10",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-431-2999",
            "fax_number": "732-431-2993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Matawan",
            "state": "NJ",
            "postal_code": "077472006",
            "country_code": "US",
            "telephone_number": "732-566-9466",
            "fax_number": "732-566-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Bridge Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Manalapan",
            "state": "NJ",
            "postal_code": "077261745",
            "country_code": "US",
            "telephone_number": "732-536-5552",
            "fax_number": "732-536-4570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Applegarth Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Monroe Twp",
            "state": "NJ",
            "postal_code": "088315347",
            "country_code": "US",
            "telephone_number": "609-860-0600",
            "fax_number": "609-860-0537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTADIN",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "32693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00966362",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0969303",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.portadin@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "510 Bridge Plaza Dr",
            "city": "Manalapan",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077261745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.