MR. EDWARD J PORTLEY JR. (NPI# 1326321241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326321241 |
| Entity Type | Individual |
| Full Name | MR. EDWARD J PORTLEY JR. |
| Credential | LMT, NCTMB |
| Practice Address |
347 2nd Street Pike Southampton PA 18966-3831 |
| Mailing Address |
10228 Clark St Philadelphia PA 19116-3815 |
| Practice Telephone | 2672697388 |
| Mailing Telephone | 2672697388 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MSG002013 | PA | Other Service Providers |
| Street Address |
347 2ND STREET PIKE |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689605032 | Norbert Joseph Trautner | Technician/Technologist | 347 2nd Street Pike, Southampton, PA 18966-3831 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679007983 | Ilene Bomze | Specialist | 75 Toll Dr, Southampton, PA 18966-3074 | 2017-04-13 |
| 1063658771 | David Lawrence Sagman | Specialist | 4 Mountain Laurel Ln, Southampton, NY 11968-5414 | 2008-12-30 |
| 1093979973 | Richard Anthony Nigro I | Specialist | 24 Far Pond Rd, Southampton, NY 11968-4304 | 2008-07-10 |
| 1275564825 | Hampton Orthopedic and Sports Medicine PC | Specialist | 325 Meeting House Ln Bldg 2, Suite 301, Southampton, NY 11968-5087 | 2006-07-05 |
| 1568431609 | Dana Geller | Specialist | 130 Hills Station Rd, Southampton, NY 11968-3725 | 2006-03-14 |
| 1003887878 | Richard James Ricca | Specialist | 335a Meeting House Ln, Southampton, NY 11968-5051 | 2006-01-30 |
| 1134732134 | Stephanie Nicole Mueller | Specialist | 168 Hill St, Southampton, NY 11968-5337 | 2020-08-28 |
| 1386298818 | Brooke Ann Halloran | Specialist | 168 Hill St, Southampton, NY 11968-5337 | 2019-08-01 |
| 1881176220 | Colleen Carter | Specialist | 168 Hill Street, Southampton, NY 11968 | 2018-09-01 |
| 1962857987 | Aesthetic Md of Ny | Specialist | 61 Main St, 2nd Floor, Southampton, NY 11968-4870 | 2016-04-27 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
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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.