Active NPI
Emma Poroger, M.D D.O
- Family Medicine Physician
- Jersey City, NJ
National Provider Identifier
1669572368
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB07446800
- Practice address
- 2690 Kennedy Blvd
Jersey City, NJ 07306-5804 - Phone
- (201) 451-1601
- Fax
- (201) 451-2031
- NPI assigned
- Sep 22, 2006
- Last updated
- Jun 30, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB07446800 | NJ | Primary |
Addresses
Primary practice location
2690 Kennedy Blvd
Jersey City, NJ 07306-5804
Mailing address
97 Giffords LN
Staten Island, NY 10308-2011
Phone (516) 317-9082
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osteopathic Medical Care Center | Past | Accepting new patients | |
| Steinbaum Levine Associates LLC | Family Medicine | Past | Accepting new patients |
| North Austin Medical PC | Past | Accepting new patients | |
| Healthcare Medical PC | Past | Accepting new patients | |
| Monroe Physical Medicine LLC | Past | Accepting new patients | |
| Quality Medical Care | Family Medicine | Past | Accepting new patients |
Organizations & group practices 6
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.
-
- Specialist
- Forest Hills, NY
- NPI 1770658627
-
- Rehabilitation Clinic/Center
- Monroe, NJ
- NPI 1780890533
-
- Primary Care Clinic/Center
- Fair Lawn, NJ
- NPI 1730363250
-
- Family Medicine Physician
- Jersey City, NJ
- NPI 1942451133
-
- Family Medicine Physician
- Bayonne, NJ
- NPI 1770616112
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1780629204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1669572368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 GIFFORDS LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103082011",
"telephone_number": "516-317-9082",
"fax_number": "201-451-2031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2690 KENNEDY BLVD",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073065804",
"telephone_number": "201-451-1601",
"fax_number": "201-451-2031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POROGER",
"first_name": "EMMA",
"credential": "M.D D.O",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB07446800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.