DR. JOEL EVAN PORTNOY (NPI# 1083878102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083878102 |
| Entity Type | Individual |
| Full Name | DR. JOEL EVAN PORTNOY |
| Credential | M.D. |
| Practice Address |
3003 New Hyde Park Rd Suite 409 New Hyde Park NY 11042-1206 |
| Mailing Address |
660 White Plains Rd Fl 4 Tarrytown NY 10591-5139 |
| Practice Telephone | 5167752800 |
| Practice Fax Number | 5167750859 |
| Mailing Telephone | 9149842546 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
263902 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE # | 263902 | 01 |
| Street Address |
3003 NEW HYDE PARK RD SUITE 409 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861498198 | Gastro Anesthesia Services, PC | Anesthesiology | 3003 New Hyde Park Rd, Suite 309, New Hyde Park, NY 11042-1206 | 2005-06-22 |
| 1427669654 | Donna Jean Doherty | Nurse Practitioner | 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1206 | 2020-08-12 |
| 1912518184 | Jonathan Phua | Physician Assistant | 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1206 | 2020-08-12 |
| 1184199713 | Alex Lee | Surgery | 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1206 | 2018-10-10 |
| 1326525767 | Joan Claire Zimmeck | Surgery | 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1206 | 2018-07-27 |
| 1649722273 | Jessica Maria Molina | Nurse Practitioner | 3003 New Hyde Park Rd, #309, New Hyde Park, NY 11042-1206 | 2016-10-31 |
| 1013464684 | David Lomasney P.C. | Surgery | 3003 New Hyde Park Rd, Suite 309, New Hyde Park, NY 11042-1206 | 2016-09-01 |
| 1841642410 | Jonathan D S Klein Md PC | Surgery | 3003 New Hyde Park Rd, Ste 309, New Hyde Park, NY 11042-1206 | 2016-07-07 |
| 1609246339 | Price Pediatric Pulmonology, PC | Pediatrics | 3003 New Hyde Park Rd, Suite 204, New Hyde Park, NY 11042-1206 | 2015-10-07 |
| 1598141343 | Michaelle Zerykier | Audiologist | 3003 New Hyde Park Rd, Suite 409, New Hyde Park, NY 11042-1206 | 2015-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328874 | Conall Fitzgerald | Otolaryngology | 1275 York Ave Dept Head, New York, NY 10065-6007 | 2020-08-31 |
| 1609484492 | Manhattan Facial Plastic Surgery and Ear Nose & Throat Professional Co | Otolaryngology | 400 East 20th Street Ste 3f, New York, NY 10009 | 2020-07-17 |
| 1154838977 | Manhattan Canal Medical, P.C. | Otolaryngology | 202 Canal St Ste 602, New York, NY 10013-4517 | 2018-01-02 |
| 1437538881 | Jacob Ibrook Tower | Otolaryngology | 130 East 77th Street Black Hall Building 10th Floor, New York, NY 10075 | 2015-05-19 |
| 1982808614 | Rebecca E Fraioli | Otolaryngology | 3400 Bainbridge Ave, Map 3, Montefiore Medical Center, Dept of Otolaryngology - Hns, Bronx, NY 10467 | 2007-06-14 |
| 1043429483 | David O Volpi | Otolaryngology | 262 Central Park W # 1h, New York, NY 10024-3512 | 2007-05-22 |
| 1487877817 | Western New York Ear, Nose & Throat, P.C. | Otolaryngology | 3670 South Benzing, Suite C, Orchard Park, NY 14127 | 2007-04-11 |
| 1821157751 | Jennifer M Levine | Otolaryngology | 240 E 79th St, New York, NY 10075-1257 | 2006-12-06 |
| 1104913185 | William Marshall Portnoy | Otolaryngology | 160 W 18th St, Ground Floor, New York, NY 10011-5403 | 2006-10-09 |
| 1609821297 | Boris Chernobilsky | Otolaryngology | 240 E 38th St Fl 14, New York, NY 10016 | 2006-05-23 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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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.