1275511560 NPI number — RUSSELL PORTER MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275511560 NPI number — RUSSELL PORTER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PORTER
Provider First Name:
RUSSELL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275511560
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2000 NORTH VILLIAGE AVE
Provider Second Line Business Mailing Address:
STE 307
Provider Business Mailing Address City Name:
ROCKVILLE CENTRE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11570-1001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-766-5051
Provider Business Mailing Address Fax Number:
516-766-2476

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2000 NORTH VILLIAGE AVE
Provider Second Line Business Practice Location Address:
STE 307
Provider Business Practice Location Address City Name:
ROCKVILLE CENTRE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11570-1001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-766-5051
Provider Business Practice Location Address Fax Number:
516-766-2476
Provider Enumeration Date:
01/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  136530 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RG0300X , with the licence number: 136530 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207XX0005X , with the licence number: 136530 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2590505 . This is a "UNEMPLOYMENT ER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 36A761 . This is a "BCBS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 927080 . This is a "PHS FOR REFERRALS" identifier . This identifiers is of the category "OTHER".
  • Identifier: CFP1365303 . This is a "WC" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: AP970 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 559637 . This is a "US HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00598458 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: AB45677 . This is a "MDNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: OC7613 . This is a "PHS" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com