MRS. JENNIFER K PORCO (NPI# 1154767903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154767903 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER K PORCO |
| Credential | NP |
| Practice Address |
1 Sears Dr Ste 306 Paramus NJ 07652-3510 |
| Practice Telephone | 2018302287 |
| Practice Fax Number | 2018302286 |
| Mailing Telephone | 2018302287 |
| Mailing Fax Number | 2018302286 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00436900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 656665 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114332160 | Jennifer Porco | Nurse Practitioner | 22255 Greenfield Rd, Southfield, MI 48075-3710 | 2014-06-29 |
| 1457663387 | Jennifer Slane Porco | Psychologist | 1009 Beaver Grade Rd Ste 230, Coraopolis, PA 15108-2969 | 2010-07-08 |
| Street Address |
1 SEARS DR STE 306 |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386701654 | Michael L Gross | Internal Medicine | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2007-01-03 |
| 1477118933 | Erica Kessler | Nurse Practitioner | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2019-05-09 |
| 1649783010 | Daniel Arthur | Nurse Practitioner | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2017-11-08 |
| 1518493642 | Diana V Araque | Nurse Practitioner | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2017-05-10 |
| 1952842460 | Physician Specialists of Northern Jersey LLC | Internal Medicine | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2017-03-16 |
| 1710433792 | Cori Elizabeth Sondervan | Nurse Practitioner | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2016-08-30 |
| 1528201993 | Cristobal Goa | Internal Medicine | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2009-04-14 |
| 1669529202 | Jason A Shatkin | Internal Medicine | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518131 | Srishti Arora | Nurse Practitioner | 1 Sears Dr Ste 402, Paramus, NJ 07652-3520 | 2019-10-06 |
| 1073170973 | Manjinder Kaur | Nurse Practitioner | 649 Seagull Dr, Paramus, NJ 07652-4945 | 2019-05-26 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| 1336493386 | Sonia Rivadelo | Nurse Practitioner | 230 E Ridgewood, Bergen Regional Medical Center, Paramus, NJ 07652 | 2012-10-30 |
| 1700140217 | Eun Choi | Nurse Practitioner | 46 Duke Dr, Paramus, NJ 07652-4320 | 2012-06-28 |
| 1326338161 | Elisa Marie Depierro | Nurse Practitioner | 1 Valley Health Plaza, Paramus, NJ 07652 | 2011-04-13 |
| 1720290604 | Laurie Jeanne Krum | Nurse Practitioner | 204 Haase Ave, Paramus, NJ 07652-4508 | 2007-05-04 |
| 1518493642 | Diana V Araque | Nurse Practitioner | 1 Sears Dr Ste 306, Paramus, NJ 07652-3510 | 2017-05-10 |
| 1215383443 | Alison Elizabeth Cooper | Nurse Practitioner | 1 W Ridgewood Ave, Suite 106, Paramus, NJ 07652 | 2016-05-06 |
| Find all providers in PARAMUS | ||||
Please comment or provide details below to improve the information on MRS. JENNIFER K PORCO.
| 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.