Gary L Portadin, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

108911 Issued in NY

Practice address

505 Laguardia PL
Apt 7B
New York, NY 10012-2001

Phone

(212) 533-4213

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275533648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 LAGUARDIA PL",
            "address_2": "APT 7B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122001",
            "telephone_number": "212-533-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 LAGUARDIA PL",
            "address_2": "APT 7B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122001",
            "telephone_number": "212-533-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTADIN",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "108911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Port, MD
• Elisa Rush Port, MD
• Jeffrey Port, MD
• Vivian Port, LCSW
• Portable Physical Therapy PC
• Cynthia Portal-Celhay, M.D.
• Olga Pilar Portalatin
• Courtney Rose Portaro
• Gabriela Portas, MA, ATR-BC, LCAT
• Porteck Health Networks

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.