Ira S Port, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

11460 Issued in NJ

Practice address

2341 Highway 66
Ocean, NJ 07712-3961

Phone

(732) 922-2255

Fax

(732) 922-2969

NPI assigned

Jun 29, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Seaview Dental@Stafford

  • Dental Clinic/Center
  • Manahawkin, NJ
  • NPI 1215514468
  NPD Authorized official
• Dental Group at Seaview PA

  • Periodontics
  • Ocean, NJ
  • NPI 1568532885

  Dentist

  NPD (past)

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246233600000",
    "number": "1831327907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 HIGHWAY 66",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123961",
            "telephone_number": "732-922-2222",
            "fax_number": "732-922-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 HIGHWAY 66",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123961",
            "telephone_number": "732-922-2255",
            "fax_number": "732-922-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORT",
        "first_name": "IRA",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "11460",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "11460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petra A Pilipovic, PHARM D
• Jacob Pirogovsky, LCSW
• Irina Ashley Pittarelli
• Michelle Pizzo, APN
• Varsha M Pohuja, PT
• Prana Counseling Services, LLC
• Prime Rehabilitation Services, Inc.
• Progressive Pain Management LLC
• Provision Consultants PC
• Melinda A Pullano, PT

• Periodontics in Ocean, NJ
• Providers in Ocean, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.

Verify at the official NPI Registry.