Daniel John Poreda, L.AC, DIPL OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

004422 Issued in NY

Practice address

1201 Broadway Ste 1003
New York, NY 10001-5405

Phone

(908) 432-3605

Fax

(646) 380-0164

NPI assigned

Dec 13, 2010

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1407159494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SUNNYBROOK RD",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242713",
            "telephone_number": "908-432-3605",
            "fax_number": "646-380-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROADWAY STE 1003",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015405",
            "telephone_number": "908-432-3605",
            "fax_number": "646-380-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POREDA",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "L.AC, DIPL OM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "004422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Porcello, LCSW
• Leide Porcu, PHD LPSA
• Joseph Bernard Porder, M.D.
• Matthew Pordes, LCSW
• Robert Pordy, MD
• Kerry Lynn Porembski, PT, DPT
• Leonid Poretsky, MD
• Vicki Marlo Porges, M.D.
• Eliana Porgess
• Jaime Poris

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.