Justin I. Porto, D.O. P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

228982 Issued in NY

Legal business name

JUSTIN I. PORTO, D.O. P.C.

Practice address

287 Route 41
Freehold, NY 12431-6013

Phone

(518) 929-4005

NPI assigned

Nov 4, 2014

Last updated

Nov 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin I Porto, MD

Title

Physician

Phone

(518) 929-4005

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1770988636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 ROUTE 41",
            "city": "FREEHOLD",
            "state": "NY",
            "postal_code": "124316013",
            "telephone_number": "518-929-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 ROUTE 41",
            "city": "FREEHOLD",
            "state": "NY",
            "postal_code": "124316013",
            "telephone_number": "518-929-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN I. PORTO, D.O. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "PORTO",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "518-929-4005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "228982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lynn Eberhard-Torres, M.S., CCC-SLP
• Robert Steven Golden, D.C.
• Kathy Mathieu, RN
• Mark J Quackenbush, PHARMD RPH
• Paula M Willard

• Family Medicine Physician in Freehold, NY
• Providers in Freehold, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.