Jason E. Portnof, DMD, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

ME101326 Issued in FL

Practice address

9980 Central Park Blvd N Ste 113
Boca Raton, FL 33428-1703

Phone

(561) 717-3660

Fax

(561) 717-3650

NPI assigned

Jul 29, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Maxillofacial SurgeryAlso: Oral Surgery

Education

JS Weill Medical College, Cornell University, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
• Delray Medical Center Hospital, Delray Beach, FL, CCN 100258
• St Mary'S Medical Center Hospital, West Palm Beach, FL, CCN 100288

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Surgical Arts of Boca Raton LLC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Boca Raton, FL
  • NPI 1689171332
  Medicare reassignment NPD Authorized official
• Bimc Faculty Practice

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New York, NY
  • NPI 1902099351
  NPD (past)

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

• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation
• Delray Medical Center, Inc.

  • General Acute Care Hospital
  • Delray Beach, FL
  • NPI 1326078288
  Care Compare affiliation
• St. Mary'S Medical Center, Inc

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1952333205
  Care Compare affiliation

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1760613426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BVLD N",
            "address_2": "SUITE 113",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33428",
            "telephone_number": "561-717-3660",
            "fax_number": "561-717-3650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9980 CENTRAL PARK BLVD N STE 113",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281703",
            "telephone_number": "561-717-3660",
            "fax_number": "561-717-3650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 SW 62nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331553009",
            "country_code": "US",
            "telephone_number": "305-666-6511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTNOF",
        "first_name": "JASON",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-29",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "DN16048",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "ME101326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008090701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eden Porat
• Stacie Poritz
• Michelle Port
• Lee A Porterfield, M.D.
• Tasha Porterfield, FNP-C
• Daniela Portnoy, MA
• Shari Hope Portnoy
• Jessica Dayana Portu, A.R.N.P
• Laura E Posada
• Posit Therapy PC

• Oral & Maxillofacial Surgery (D.M.D.) in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.