Individual provider Active NPI

Robert J. Porzio, D.C.

  • Chiropractor
  • Waterbury, CT
National Provider Identifier
1467452953
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
211CT Issued in CT
Practice address
1153 W Main St
Waterbury, CT 06708-2737
Phone
(203) 756-7449
Fax
(203) 597-1153
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 211CT CT Primary

Addresses

Primary practice location

1153 W Main St
Waterbury, CT 06708-2737

Mailing address

1153 W Main St
Waterbury, CT 06708-2737
Phone (203) 756-7449

Other identifiers 1

IdentifierTypeStateIssuer
1467452953OtherCTNATIONAL PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090116000605 CT Practitioner - Chiropractic 4284797226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1153 W Main St
Suite 1
Waterbury, CT 06708-2769
Phone (203) 756-7449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
211CTCTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert J. Porzio DC, PC Chiropractor CurrentSince Oct 1, 1984 Accepting new patients
Porzio-Hawley Chiropractic & Nutrition Center LLC Chiropractor PastSince Feb 1, 2010 Accepting new patients

Locations

1153 W Main St
Waterbury, CT 06708
Phone (203) 754-1142

1153 W Main St
Ste 1
Waterbury, CT 06708
Phone (203) 756-7449

Interoperability endpoints

  • Direct secure messaging: rporzio@direct.wtbyhosp.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1467452953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082737",
            "telephone_number": "203-756-7449",
            "fax_number": "203-597-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 W MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082737",
            "telephone_number": "203-756-7449",
            "fax_number": "203-597-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORZIO",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "211CT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER ID",
            "identifier": "1467452953",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.