Joseph Porres MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

D0044137 Issued in MD

Legal business name

JOSEPH PORRES MD PC

Practice address

50 W Edmonston Dr
308
Rockville, MD 20852-1228

Phone

(307) 762-7364

NPI assigned

Mar 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Porres, MDNPI 1902835689

Title

President

Phone

(301) 762-7364

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph M Porres, MD

  • Dermatology Physician
  • Rockville, MD
  • NPI 1902835689

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1356640338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR",
            "address_2": "308",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521228",
            "telephone_number": "307-762-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR",
            "address_2": "308",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521228",
            "telephone_number": "307-762-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH PORRES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "PORRES",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-762-7364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0044137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Mark Jordan, ED.S.
• Sydney Jordan
• Tazhane Jordan
• Veronica Jordan
• Tenneh Jorgbor
• Kenyetta Marie Joseph, LCSW-C
• Louisa Joseph
• Michael Joseph
• Neila Joseph
• Paule V Joseph, FNP, PHD

• Dermatology Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.