Active NPI
Laurel Porter, M.D.
- Anesthesiology Physician
- New York, NY
National Provider Identifier
1609980390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 157301
- Practice address
- 400 Riverside Dr
Apt 4E
New York, NY 10025-1860 - Phone
- (212) 222-9930
- NPI assigned
- Aug 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 157301 | NY | Primary |
Addresses
Primary practice location
400 Riverside Dr
Apt 4E
New York, NY 10025-1860
Mailing address
400 Riverside Dr
Apt 4E
New York, NY 10025-1860
Phone (212) 222-9930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02906398 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Regional Medical Center | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Pomona, NJ
- NPI 1710930102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217894400000",
"number": "1609980390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 RIVERSIDE DR",
"address_2": "APT 4E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251860",
"telephone_number": "212-222-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 RIVERSIDE DR",
"address_2": "APT 4E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251860",
"telephone_number": "212-222-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "LAUREL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2008-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "157301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02906398",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.