Regina B Portnova MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 91789 Issued in FL

Legal business name

REGINA B PORTNOVA MD INC

Practice address

2951 NW 49 Ave
Suite 201
Lauderdale Lakes, FL 33313

Phone

(954) 486-5700

Fax

(954) 484-2574

NPI assigned

Jul 14, 2006

Last updated

Oct 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stanislav Portnov

Title

Office Director

Phone

(954) 486-5700

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12248/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katherine Lee Launer, ARNP

  • Gerontology Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1831208602
  Medicare reassignment NPD
• Regina B Portnova, M.D.

  • Internal Medicine Physician
  • Lauderdale Lakes, FL
  • NPI 1114908373
  Medicare reassignment NPD
• Sharon Breneman Costanzo, ARNP

  • Family Nurse Practitioner
  • Sunrise, FL
  • NPI 1396837043
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445817600000",
    "number": "1336165349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 NW 49 AVE",
            "address_2": "SUITE 201",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-486-5700",
            "fax_number": "954-484-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2951 NW 49 AVE",
            "address_2": "SUITE 201",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "33313",
            "telephone_number": "954-486-5700",
            "fax_number": "954-484-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA B PORTNOVA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-10-26",
        "status": "A",
        "authorized_official_last_name": "PORTNOV",
        "authorized_official_first_name": "STANISLAV",
        "authorized_official_title_or_position": "OFFICE DIRECTOR",
        "authorized_official_telephone_number": "954-486-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 91789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004877800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271339000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hamsakumari Ramasubramaniam, MD
• Ramil RX Inc
• Ramil RX Inc (Ramil Specialty Pharmacy)
• Christina Rampaul-Chen, ARNP
• Sandra Reese
• Myrlande Regis, LCSW
• Rochelle Denise Reid-Bispham, MA
• Lorna K Reid, ARNP
• Sara Zaidman Rejtman, L.C.S.W.
• Dorothy Remy, APRN

• Internal Medicine Physician in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.