Individual provider Active NPI

Sabina Mary Porcaro, M.D.

  • Internal Medicine Physician
  • Bloomfield, NJ
National Provider Identifier
1275634636
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA04871800 Issued in NJ
Practice address
228 N 15TH St
Bloomfield, NJ 07003-5950
Phone
(973) 743-3313
Fax
(973) 743-1136
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA04871800 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

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA04871800NJMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1275634636",
    "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": {
        "last_name": "PORCARO",
        "first_name": "SABINA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA04871800",
            "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 Jan 26, 2010; 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.