Individual provider Active NPI

Trina Poretta, D.O.

  • Specialist
  • Voorhees, NJ
National Provider Identifier
1720082092
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
25MB06644500 Issued in NJ
Practice address
705 White Horse Rd
Ste D105
Voorhees, NJ 08043-2468
Phone
(856) 435-1777
Fax
(856) 435-7291
NPI assigned
Jun 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 25MB06644500 NJ Primary

Addresses

Primary practice location

705 White Horse Rd
Ste D105
Voorhees, NJ 08043-2468

Mailing address

705 White Horse Rd
Ste D105
Voorhees, NJ 08043-2468
Phone (856) 435-1777

Other identifiers 1

IdentifierTypeStateIssuer
8883700MedicaidNJ

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
I20101018000354 NJ Practitioner - Hematology/Oncology 2567465610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Cancer and Hematology Specialists, P.C.Group PAC ID 3476561010, 3 clinicians

Practice addresses (Care Compare)

705 White Horse Rd
Voorhees, NJ 08043-2468
Phone (856) 435-1777

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as group
Quality
81.74
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Cancer & Hematology Specialists, P.C. Specialist CurrentSince Jan 1, 1970 Accepting new patients

Locations

705 White Horse Rd
Ste D105
Voorhees, NJ 08043
Phone (856) 435-1777

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70698

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1720082092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WHITE HORSE RD",
            "address_2": "STE D105",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432468",
            "telephone_number": "856-435-1777",
            "fax_number": "856-435-7291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WHITE HORSE RD",
            "address_2": "STE D105",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432468",
            "telephone_number": "856-435-1777",
            "fax_number": "856-435-7291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORETTA",
        "first_name": "TRINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-02",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MB06644500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8883700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.