Organization Active NPI

Daniel Portal MD PLLC

  • Vascular & Interventional Radiology Physician
  • Hewlett, NY
National Provider Identifier
1942137385
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
DANIEL PORTAL MD PLLC
Practice address
1229 Broadway Ste 103
Hewlett, NY 11557-2014
Phone
(517) 461-5900
NPI assigned
May 7, 2026
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Dr. Daniel Portal, MDNPI 1104358480
Title
Owner
Phone
(516) 461-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

1229 Broadway Ste 103
Hewlett, NY 11557-2014

Mailing address

148 Harborview S
Lawrence, NY 11559-1908
Phone (516) 461-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260616001644 NY Part B Supplier - Clinic/Group Practice 1658843131 Receives reassigned benefits from 1 practitioner
Practice locations: Hewlett, NY

National Provider Directory

National Provider Directory

Locations

1229 Broadway
Ste 103
Hewlett, NY 11557
Phone (517) 461-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1942137385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 HARBORVIEW S",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591908",
            "telephone_number": "516-461-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 BROADWAY STE 103",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115572014",
            "telephone_number": "517-461-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL PORTAL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "PORTAL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-461-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.