DR. JACQUELINE R PORTER (NPI# 1407943376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407943376 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE R PORTER |
| Credential | DPM |
| Practice Address |
470 Lenox Avenue 1g New York NY 10037 |
| Practice Telephone | 2122812265 |
| Practice Fax Number | 2122812265 |
| Mailing Telephone | 2122812265 |
| Mailing Fax Number | 2122812265 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
N0036001 | NY | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508241910 | Jacqueline Howze Porter | Counselor | 139 Tammy Dr, La Place, LA 70068-6474 | 2015-07-27 |
| 1710395199 | Jacqueline Porter | Community Health Worker | 10525 Lord Dr, Saint Louis, MO 63136-6033 | 2014-07-29 |
| 1518521442 | Jacqueline Ann Porter | Nurse Practitioner | 11 Whitehall Rd, Rochester, NH 03867-3297 | 2019-04-25 |
| 1871065086 | Jacqueline Porter | Social Worker | 8325 Kelwood Ave, Baton Rouge, LA 70806-4804 | 2018-12-28 |
| Street Address |
470 LENOX AVENUE 1G |
| City | NEW YORK |
| State | NY |
| Zip Code | 10037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073816260 | Max Pierre Francois, Md, PC | Internal Medicine | 470 Lenox Avenue, Suite 1f, New York, NY 10037-3012 | 2010-12-10 |
| 1699843839 | Harry M Nevers Sr. | Podiatrist | 470 Lenox Avenue, Suite 1g, New York, NY 10037-3012 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199986 | Collaborative for Better Urban Health, LLC | Case Management | 15 West 139th Street, Apt. 3h, New York, NY 10037 | 2020-09-22 |
| 1295352524 | Monisha Kanya Savarimuthu | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave. New York, Ny 10037, 506 Lenox Ave. New York Ny 10037, New York City, NY 10037 | 2020-07-02 |
| 1396361283 | Iman Mukhtar | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, Mlk Harlem Hospital Center, New York City, NY 10037 | 2020-06-17 |
| 1982226296 | Shivani Shrestha | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Rm-13-106-mlk, New York City, NY 10037 | 2020-05-08 |
| 1326669359 | Natan Katanov | Student in an Organized Health Care Education/Training Program | 506 Lennox Ave, Harlem Hospital Center Dept of Dentistry, New York, NY 10037 | 2020-04-30 |
| 1699395053 | Allie Chua Tan | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm 13-106-mlk, New York, NY 10037 | 2020-04-25 |
| 1619506896 | Sherlon Orin Sinclair | Student in an Organized Health Care Education/Training Program | 506 Lennox Avenue, Rm. 13-106-mlk, New York, NY 10037 | 2020-04-08 |
| 1841857166 | Domingo Pena | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm. 14-106 Mlk, Harlem Hospital Center, New York, NY 10037 | 2019-05-22 |
| 1588228308 | Sebastian Cristobal Valdivieso Rueda | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Mlk 11.101, New York, NY 10037 | 2019-04-26 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
| Find all providers in zip 10037 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386289452 | Good Align Podiatry Pllc | Podiatrist | 16 W 32nd St Ste 1001, New York, NY 10001-3852 | 2019-11-13 |
| 1841848777 | New York Foot and Ankle Podiatry, Pllc | Podiatrist | 115 Broadway Fl 18, New York, NY 10006-1604 | 2019-09-04 |
| 1144418013 | Thomas R Penny Dpm PC | Podiatrist | 20 5th Ave, New York, NY 10011-8831 | 2007-10-04 |
| 1558373217 | Warren J Goodman | Podiatrist | 83 Maiden Ln Fl 6, New York, NY 10038-4812 | 2006-08-12 |
| 1821060492 | Loretta Michelle Logan | Podiatrist | 241 W 138th St, New York, NY 10030-2102 | 2006-02-07 |
| 1609846468 | Alan R Teitelbaum | Podiatrist | 315 E 86th St, 1ge, New York, NY 10028-4714 | 2006-01-25 |
| 1598762437 | Edwin William Wolf | Podiatrist | 1 West 85th Street, Suite 1c, New York, NY 10024 | 2005-07-07 |
| 1043213309 | Daniel B Firshein | Podiatrist | 7 Christopher St, New York, NY 10014-3518 | 2005-05-31 |
| 1801899828 | Edgard Nau | Podiatrist | 4915 Broadway, Suite 5b, New York, NY 10034-3125 | 2005-05-23 |
| 1154818979 | Vani Manchanda | Podiatrist | 423 E 23rd St, New York, NY 10010-5011 | 2018-04-17 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.