Michael J Portera, DACM, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

25MZ00057900 Issued in NJ

Practice address

33 Norwood Dr
Gillette, NJ 07933-2103

Phone

(908) 549-4200

Fax

(732) 576-5115

NPI assigned

Aug 17, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Advanced Acupuncture & Wellness, LLC

  • Acupuncturist
  • Gillette, NJ
  • NPI 1649456260
  NPD Authorized official

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1700166105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091720",
            "telephone_number": "732-978-4932",
            "fax_number": "732-576-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 NORWOOD DR",
            "city": "GILLETTE",
            "state": "NJ",
            "postal_code": "079332103",
            "telephone_number": "908-549-4200",
            "fax_number": "732-576-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTERA",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "DACM, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00057900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Lupton
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• Paul R. Franz
• Robert Lorino, D.M.D. LLC
• Princess Roblete, DPT
• Chantal Scott Alpizar, DMD
• Marc Richard Silberman, M.D.
• Caitlin Smith-Norris, PT, DPT

• All providers in Gillette, NJ
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.