Active NPI
Ronald Peter Portadin, M.D.
- Gynecology Physician
- Mays Landing, NJ
National Provider Identifier
1790770543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 25MA02273800
- Practice address
- 3980 Black Horse Pike
Mays Landing, NJ 08330-3107 - Phone
- (609) 625-1600
- Fax
- (609) 625-2610
- NPI assigned
- Sep 19, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 25MA02273800 | NJ | Primary |
Addresses
Primary practice location
3980 Black Horse Pike
Mays Landing, NJ 08330-3107
Mailing address
PO Box 536
Voorhees, NJ 08043-0536
Phone (856) 669-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0277801 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA02273800 | NJ | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Womens Health Group LLC | Current | Accepting new patients | |
| Regional Women'S Health Group, LLC | Current | Accepting new patients | |
| Integrity Anesthesia Group, PC | Past | Accepting new patients | |
| Regional Women'S Health Group, LLC | Past | Accepting new patients |
Locations
312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552
188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023
1318 S Main Rd
Vineland, NJ 08360
Phone (856) 691-8585
1318 S Main Rd
Ste 3A
Vineland, NJ 08360
Phone (856) 462-6350
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Voorhees, NJ
- NPI 1548215536
-
- Obstetrics & Gynecology Physician
- Phoenixville, PA
- NPI 1750880118
-
- Anesthesiology Physician
- Manasquan, NJ
- NPI 1649635624
-
- Obstetrics & Gynecology Physician
- Vineland, NJ
- NPI 1316264989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1790770543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 536",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080430536",
"telephone_number": "856-669-6050",
"fax_number": "856-651-0794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 BLACK HORSE PIKE",
"city": "MAYS LANDING",
"state": "NJ",
"postal_code": "083303107",
"telephone_number": "609-625-1600",
"fax_number": "609-625-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTADIN",
"first_name": "RONALD",
"middle_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-19",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NJ",
"license": "25MA02273800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0277801",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mays Landing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.