Ms. Heather M Porter, PA-C
Physician Assistant in Wall Township, New Jersey
1588700405- Practice location
- 2101 Route 34 Ste D, Wall Township, NJ 07719-9104
- Phone
- 732-974-0003
- Fax
- —
- Last updated
- June 15, 2010
Heather M Porter is a Physician Assistant based in Wall Township, NJ. Heather M Porter practices in Wall Township, NJ and has the professional credentials of PA-C. The NPI Number for Heather M Porter is 1588700405 and holds a License No. 011176 (NY). The current practice location address for Heather M Porter is 2101 Route 34 Ste D, Wall Township, NJ 07719-9104 and can be reached out via phone at 732-974-0003.
Provider Profile Details
- NPI Number
- 1588700405
- Provider Name
- Heather M Porter
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2101 Route 34 Ste D, Wall Township, NJ 07719-9104
- Phone Number
- 732-974-0003
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 29, 2007
- Last Update Date
- June 15, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2101 Route 34 Ste D
Wall Township, NJ 07719-9104 - City
- Wall Township
- State
- New Jersey
- Zip
- 07719-9104
- Phone Number
- 732-974-0003
Provider Business Mailing Address Details
- Address
- 539 Locust Point RD
Rumson, NJ 07760-2321 - City
- Rumson
- State
- NJ
- Zip
- 07760-2321
- Phone Number
- 732-204-2780
License Information
- License Number (1)
- 011176
- License State (1)
- NY
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00202900
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Wall Township, NJ
View all Physician Assistants in Wall Township →- Barbara A Calavetta, PA-CPhysician Assistant · NPI 1760674667
- Brittany Gasser, PA-CPhysician Assistant · NPI 1992448294
- Cheryl E Caudill, PA-CPhysician Assistant · NPI 1164725743
- Christine Lang, PAPhysician Assistant · NPI 1649214883
- Delaney M Duncan, PAPhysician Assistant · NPI 1215728118
- Marcia Moloney, PAPhysician Assistant · NPI 1154422996
Frequently Asked Questions
What is the NPI number of Ms. Heather M Porter, PA-C?
The NPI number of Ms. Heather M Porter, PA-C is 1588700405. It was assigned on January 29, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Heather M Porter, PA-C?
Ms. Heather M Porter, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 011176.
Where does Ms. Heather M Porter, PA-C practice?
The practice location is 2101 Route 34 Ste D, Wall Township, NJ 07719-9104. The office can be reached at 732-974-0003 (phone).
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 1588700405 directly on the NPPES registry website.