Active NPIIndividual providerSole proprietor

Michael J Portera, DACM, LAC

Acupuncturist in Gillette, New Jersey

NPI Number1700166105
Practice location
33 Norwood Dr, Gillette, NJ 07933-2103
Fax
732-576-5115
Last updated
April 11, 2024

Michael J Portera is an Acupuncturist based in Gillette, NJ. Michael J Portera practices in Gillette, NJ and has the professional credentials of DACM, LAC. The NPI Number for Michael J Portera is 1700166105 and holds a License No. 25mz00057900 (NJ). The current practice location address for Michael J Portera is 33 Norwood Dr, Gillette, NJ 07933-2103 and can be reached out via phone at 908-549-4200 and via fax at 732-576-5115.

Provider Profile Details

NPI Number
1700166105
Provider Name
Michael J Portera
Credential
DACM, LAC
Provider Entity Type
Individual
Gender
Male
Address
33 Norwood Dr, Gillette, NJ 07933-2103
Phone Number
908-549-4200
Fax Number
732-576-5115
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
August 17, 2011
Last Update Date
April 11, 2024
Certification Date
April 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Norwood Dr
Gillette, NJ 07933-2103
Zip
07933-2103
Phone Number
908-549-4200
Fax Number
732-576-5115
Gillette, NJ 07933Get directions →

Provider Business Mailing Address Details

Address
579 Pompton Ave
Cedar Grove, NJ 07009-1720
City
Cedar Grove
State
NJ
Zip
07009-1720
Phone Number
732-978-4932
Fax Number
732-576-5115

License Information

License Number
25mz00057900
License State
NJ
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Michael J Portera, DACM, LAC?

The NPI number of Michael J Portera, DACM, LAC is 1700166105. It was assigned on August 17, 2011 and is currently active in the NPPES registry.

What is the specialty of Michael J Portera, DACM, LAC?

Michael J Portera, DACM, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NJ under license number 25mz00057900.

Where does Michael J Portera, DACM, LAC practice?

The practice location is 33 Norwood Dr, Gillette, NJ 07933-2103. The office can be reached at 908-549-4200 (phone) or 732-576-5115 (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 1700166105 directly on the NPPES registry website.

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