DR. KATHLEEN NORTHROP PORDER (NPI# 1417030610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417030610 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN NORTHROP PORDER |
| Credential | MD |
| Practice Address |
1400 Pelham Pkwy S Bronx NY 10461-1138 |
| Mailing Address |
12 W 96th St Apt. 11b New York NY 10025-6509 |
| Practice Telephone | 7189184568 |
| Mailing Telephone | 2127497869 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
156400 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1400 PELHAM PKWY S |
| City | BRONX |
| State | NY |
| Zip Code | 10461-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417942202 | Hale I Perlmutter | Physician Assistant | 1400 Pelham Pkwy S, Building 1 Psychiatry, Bronx, NY 10461-1138 | 2005-09-16 |
| 1992305213 | Heesun Huh | Pharmacist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-10-27 |
| 1366059461 | Lifan Liang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-09-23 |
| 1891301792 | Felipe Jorge Simoes Jones | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Jacobi Medical Center, Bronx, NY 10461 | 2020-09-17 |
| 1700491875 | Amr Walid Aljaerh | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-09-15 |
| 1669087508 | Ahmad Anjum | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-09-08 |
| 1144831744 | Paras Malik | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-17 |
| 1508477167 | Maria Gabriela Rubianes Guerrero | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-08-16 |
| 1215548763 | Sneha Nandy | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-10 |
| 1801406368 | Ajita Naik | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891929311 | Divino Nino Pediatrics | Pediatrics | 557 E Fordham Rd, Bronx, NY 10458-5001 | 2009-05-12 |
| 1558524751 | Jennifer I Davis | Pediatrics | 240 E 172nd St, B-100, Bronx, NY 10457-8903 | 2008-07-08 |
| 1104983592 | Cynthia Lewis | Pediatrics | 2737 Third Avenue, Bronx Care, Bronx, NY 10451 | 2007-01-03 |
| 1932282779 | Arthur Hall | Pediatrics | 3018 Colden Ave, Bronx, NY 10469-3946 | 2006-10-23 |
| 1457441487 | Juan Jose Pilarte | Pediatrics | 1001 Grand Concourse Apt 1e, Bronx, NY 10452-9122 | 2006-10-13 |
| 1538256060 | Luis Alberto Rivera | Pediatrics | 1162 Elder Ave, Bronx, NY 10472-3501 | 2006-10-06 |
| 1679660286 | Jose Tomas Aponte Rodriguez | Pediatrics | 1870 Grand Concourse Fl 3, Bronx, NY 10457-5402 | 2006-10-06 |
| 1588670194 | Tatyana Kizelshteyn | Pediatrics | 2134 Barnes Ave, Bronx, NY 10462-1902 | 2006-08-01 |
| 1225044878 | Gerson Gluck | Pediatrics | 1118 Esplanade Ave, Bronx, NY 10461-1210 | 2006-08-01 |
| 1114968708 | Peter A Masella | Pediatrics | 603 E 187th St, Bronx, NY 10458-6700 | 2006-06-08 |
| Find all providers in BRONX | ||||
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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.