Joseph John Porcu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

038598 Issued in NY

Practice address

102 Kathleen Dr
Syosset, NY 11791-5815

Phone

(516) 921-1678

Fax

(516) 921-1042

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366442964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 KATHLEEN DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915815",
            "telephone_number": "516-921-1678",
            "fax_number": "516-921-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 KATHLEEN DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915815",
            "telephone_number": "516-921-1678",
            "fax_number": "516-921-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCU",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Polidoro
• Cristina Frances Polizzi, O.D.
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• Jordyn Popple
• Lynne I Portnoy, MD
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• Susan Marie Powell, MS ED
• Colin Powers, MD
• Peter Anton Pramberger, D.C.

• General Practice Dentistry in Syosset, NY
• Providers in Syosset, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.