Herbert Portnoff D.D.S. , P.a.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22D100712900 Issued in NJ

Legal business name

HERBERT PORTNOFF D.D.S. , P.A.

Practice address

1656 Oak Tree Rd
Edison, NJ 08820-2805

Phone

(732) 549-3773

Fax

(732) 549-9241

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Herbert H Portnoff, D.D.S.

Title

President

Phone

(732) 549-3773

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508919143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202805",
            "telephone_number": "732-549-3773",
            "fax_number": "732-549-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 OAK TREE RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202805",
            "telephone_number": "732-549-3773",
            "fax_number": "732-549-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT PORTNOFF D.D.S. , P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTNOFF",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-549-3773",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22D100712900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.