- Practice location
- Mjhs Hospice And Palliative Care, 39 Broadway #r Fl, New York, NY 10006
- Phone
- 212-649-5560
- Fax
- 212-649-5544
- Last updated
- May 6, 2021
Russell Keith Portenoy is a Psychiatry & Neurology, Hospice and Palliative Medicine based in New York, NY. Russell Keith Portenoy practices in New York, NY and has the professional credentials of MD. The NPI Number for Russell Keith Portenoy is 1407837396 and holds a License No. 146475 (NY). The current practice location address for Russell Keith Portenoy is Mjhs Hospice And Palliative Care, 39 Broadway #r Fl, New York, NY 10006 and can be reached out via phone at 212-649-5560 and via fax at 212-649-5544.
Provider Profile Details
- NPI Number
- 1407837396
- Provider Name
- Russell Keith Portenoy
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- Mjhs Hospice And Palliative Care, 39 Broadway #r Fl, New York, NY 10006
- Phone Number
- 212-649-5560
- Fax Number
- 212-649-5544
- Primary Taxonomy
- Psychiatry & Neurology, Hospice and Palliative Medicine · 2084H0002X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 8, 2005
- Last Update Date
- May 6, 2021
- Certification Date
- May 6, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Mjhs Hospice And Palliative Care
39 Broadway #r Fl
New York, NY 10006 - City
- New York
- State
- New York
- Zip
- 10006
- Phone Number
- 212-649-5560
- Fax Number
- 212-649-5544
Provider Business Mailing Address Details
- Address
- Mjhs Hospice And Palliative Care
39 Broadway #r Fl
New York, NY 10006 - City
- New York
- State
- NY
- Zip
- 10006
- Phone Number
- 212-649-5560
- Fax Number
- 212-649-5544
License Information
- License Number (1)
- 146475
- License State (1)
- NY
- Taxonomy (1)
- Psychiatry & Neurology, Neurology · 2084N0400X
- License Number (2)
- 146475
- License State (2)
- NY
- Taxonomy (2)
- Psychiatry & Neurology, Hospice and Palliative Medicine · 2084H0002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Russell K Portenoy, MD?
The NPI number of Russell K Portenoy, MD is 1407837396. It was assigned on November 8, 2005 and is currently active in the NPPES registry.
What is the specialty of Russell K Portenoy, MD?
Russell K Portenoy, MD is registered under the primary taxonomy Psychiatry & Neurology, Hospice and Palliative Medicine (code 2084H0002X), licensed in NY under license number 146475.
Where does Russell K Portenoy, MD practice?
The practice location is Mjhs Hospice And Palliative Care, 39 Broadway #r Fl, New York, NY 10006. The office can be reached at 212-649-5560 (phone) or 212-649-5544 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407837396 directly on the NPPES registry website.