Individual provider Active NPI

Almerindo G. Portfolio Jr., M.D.

  • Ophthalmology Physician
  • Glen Rock, NJ
National Provider Identifier
1669477956
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA03882000 Issued in NJ
Practice address
85 Harristown Rd
Suite 102
Glen Rock, NJ 07452-3329
Phone
(201) 445-5161
Fax
(201) 445-7912
NPI assigned
Jun 15, 2005
Last updated
Nov 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 25MA03882000 NJ Primary
Ophthalmology Physician 207W00000X 140834-1 NY

Addresses

Primary practice location

85 Harristown Rd
Suite 102
Glen Rock, NJ 07452-3329

Mailing address

85 Harristown Rd
Suite 102
Glen Rock, NJ 07452-3329
Phone (201) 445-5161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000669 NJ Practitioner - Ophthalmology 5597771329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 W Ridgewood Ave
Suite 204
Paramus, NJ 07652-2362
Phone (201) 445-5161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA03882000NJMDOphthalmology Physician
140834-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A.G.Portfolio Ophthalmology CurrentSince Jan 1, 1989 Accepting new patients

Locations

85 Harristown Rd
Ste 102
Glen Rock, NJ 07452
Phone (201) 445-5161

1 W Ridgewood Ave
Paramus, NJ 07652
Phone (201) 444-3060

1 W Ridgewood Ave
Ste 108
Paramus, NJ 07652
Phone (201) 445-5161

1 W Ridgewood Ave
Ste 204
Paramus, NJ 07652
Phone (201) 445-5161

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, 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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1669477956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 HARRISTOWN RD",
            "address_2": "SUITE 102",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523329",
            "telephone_number": "201-445-5161",
            "fax_number": "201-445-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HARRISTOWN RD",
            "address_2": "SUITE 102",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523329",
            "telephone_number": "201-445-5161",
            "fax_number": "201-445-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTFOLIO",
        "first_name": "ALMERINDO",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA03882000",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "140834-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

Verify at the official NPI Registry.