Organization Active NPI

Carlo Porcaro, M.D. P.a.

  • Internal Medicine Physician
  • Bloomfield, NJ
National Provider Identifier
1265553044
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA01651400 Issued in NJ
Legal business name
CARLO PORCARO, M.D. P.A.
Practice address
228 N 15TH St
Bloomfield, NJ 07003-5950
Phone
(973) 743-3313
Fax
(973) 743-1136
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dr. Carlo Porcaro, M.D.
Title
President
Phone
(973) 743-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA01651400 NJ Primary

Addresses

Primary practice location

228 N 15TH St
Bloomfield, NJ 07003-5950

Mailing address

228 N 15TH St
Bloomfield, NJ 07003-5950
Phone (973) 743-3313

National Provider Directory

National Provider Directory

Locations

228 N 15th St
Bloomfield, NJ 07003
Phone (973) 680-9205

382 W Passaic Ave
Ste 1
Bloomfield, NJ 07003
Phone (973) 743-3313

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1265553044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 N 15TH ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035950",
            "telephone_number": "973-743-3313",
            "fax_number": "973-743-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 N 15TH ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035950",
            "telephone_number": "973-743-3313",
            "fax_number": "973-743-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLO PORCARO, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "PORCARO",
        "authorized_official_first_name": "CARLO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-743-3313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA01651400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.