Doctor Poretskaya Medical Practice, P.a.
Legal Medicine in Elizabeth, New Jersey
1912303819- Practice location
- 645 Elizabeth Ave, Elizabeth, NJ 07206-1131
- Phone
- 908-662-2222
- Fax
- 908-450-6150
- Last updated
- November 5, 2014
Doctor Poretskaya Medical Practice, P.a. is a healthcare organization based in Elizabeth, NJ. Doctor Poretskaya Medical Practice, P.a. practices in Elizabeth, NJ. The NPI Number for Doctor Poretskaya Medical Practice, P.a. is 1912303819 and holds a License No. 25MA08695400 (NJ). The current practice location address for Doctor Poretskaya Medical Practice, P.a. is 645 Elizabeth Ave, Elizabeth, NJ 07206-1131 and can be reached out via phone at 908-662-2222 and via fax at 908-450-6150.
Provider Profile Details
- NPI Number
- 1912303819
- Provider Name
- Doctor Poretskaya Medical Practice, P.a.
- Provider Entity Type
- Organization
- Address
- 645 Elizabeth Ave, Elizabeth, NJ 07206-1131
- Phone Number
- 908-662-2222
- Fax Number
- 908-450-6150
- Primary Taxonomy
- Legal Medicine · 173000000X
- Organization Subpart
- No
- Authorized Official
- Dr. Lyudmila Poretskaya, MD · Owner · 551-574-2177
- Provider Enumeration Date
- November 5, 2014
- Last Update Date
- November 5, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 645 Elizabeth Ave
Elizabeth, NJ 07206-1131 - City
- Elizabeth
- State
- New Jersey
- Zip
- 07206-1131
- Phone Number
- 908-662-2222
- Fax Number
- 908-450-6150
Provider Business Mailing Address Details
- Address
- 1018 Palisade Ave
Apt 18
Fort Lee, NJ 07024-6300 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-6300
- Phone Number
- 908-662-2222
- Fax Number
- 908-450-6150
License Information
- License Number
- 25MA08695400
- License State
- NJ
- Taxonomy
- Legal Medicine · 173000000X · 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 Doctor Poretskaya Medical Practice, P.a.?
The NPI number of Doctor Poretskaya Medical Practice, P.a. is 1912303819. It was assigned on November 5, 2014 and is currently active in the NPPES registry.
What is the specialty of Doctor Poretskaya Medical Practice, P.a.?
Doctor Poretskaya Medical Practice, P.a. is registered under the primary taxonomy Legal Medicine (code 173000000X), licensed in NJ under license number 25MA08695400.
Where does Doctor Poretskaya Medical Practice, P.a. practice?
The practice location is 645 Elizabeth Ave, Elizabeth, NJ 07206-1131. The office can be reached at 908-662-2222 (phone) or 908-450-6150 (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 1912303819 directly on the NPPES registry website.