MRS. JEANETTE MARIE PORTER (NPI# 1679662480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679662480 |
| Entity Type | Individual |
| Full Name | MRS. JEANETTE MARIE PORTER |
| Other Name | JEANETTE MARIE POWERS |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
540 Lafayette Rd Suite D Sparta NJ 07871-3497 |
| Practice Telephone | 9733001553 |
| Practice Fax Number | 9733836236 |
| Mailing Telephone | 9733001553 |
| Mailing Fax Number | 9733836236 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2009-10-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 3500 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00223600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
3500 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
540 LAFAYETTE RD SUITE D |
| City | SPARTA |
| State | NJ |
| Zip Code | 07871-3497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922074616 | John Vitolo | Specialist | 540 Lafayette Rd, Suite D, Sparta, NJ 07871-3447 | 2006-02-23 |
| 1396129037 | Brian Kokulak | Physical Therapist | 540 Lafayette Rd, Suite B, Sparta, NJ 07871-3497 | 2015-07-13 |
| 1033529706 | Richard N. Siegfried, Md, LLC | Anesthesiology | 540 Lafayette Rd, Sparta, NJ 07871-3497 | 2014-05-05 |
| 1881035699 | Advocare, LLC | Orthopaedic Surgery | 540 Lafayette Rd, Suite D, Sparta, NJ 07871-3497 | 2013-07-09 |
| 1023264660 | Gabrielle A Gordon | Physical Therapist | 540 Lafayette Rd, Suite B, Sparta, NJ 07871-3497 | 2008-08-14 |
| 1932397916 | Steven Michael Storch | Physician Assistant | 540 Lafayette Rd, Suite D, Sparta, NJ 07871-3497 | 2007-10-04 |
| 1669668075 | Tracy L Mascilak | Physical Therapist | 540 Lafayette Rd, Suite B, Sparta, NJ 07871-3497 | 2007-09-19 |
| 1437349644 | John Vitolo, M.d. P.C. | Specialist | 540 Lafayette Rd, Suite D, Sparta, NJ 07871-3447 | 2007-07-25 |
| 1366522682 | Richard Norman Siegfried | Anesthesiology | 540 Lafayette Rd, Sparta, NJ 07871-3497 | 2006-10-17 |
| 1568575819 | John F Messina | Physician Assistant | 540 Lafayette Rd, Sparta, NJ 07871-3497 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902412737 | Jennifer Lynne Coviello | Physical Therapist | 10 North N Village Blvd, Suite D, Sparta, NJ 07871 | 2020-09-17 |
| 1104442466 | Sparta Senior Living, LLC | Assisted Living Facility | 3 North Village Boulevard, Sparta, NJ 07871 | 2020-06-23 |
| 1679115836 | Peli Eyecare and Associates | Optometrist | 10 North Village Boulevard, Suite C, Sparta, NJ 07871 | 2019-10-09 |
| 1841859451 | Ronetco Supermarkets, Inc. | Pharmacy | 18 North Village Boulevard, Sparta, NJ 07871 | 2019-06-07 |
| 1013571165 | North Jersey Scoliosis and Physical Therapy Specialists, LLC | Physical Therapist | 580 Lafayette Rd, St K, Sparta, NJ 07871 | 2019-04-24 |
| 1356805881 | Amazing Strides of Nj LLC | Behavioral Analyst | #322, 270 Sparta Ave., Suite 104, Sparta, NJ 07871 | 2019-01-29 |
| 1023589942 | Trinity Rehab Somerset Pa | Physical Therapist | 10 North Village Blvd, Suite D, Sparta, NJ 07871 | 2018-12-17 |
| 1053881649 | Lisa Arline Frisbie | Counselor | 25 Main Street Rear Suite, Sparta, NJ 07871 | 2018-11-27 |
| 1740756444 | Three Treasures Acupuncture of New Jersey, LLC | Acupuncturist | 43 Main Street Suite 102, Sparta, NJ 07871 | 2018-10-19 |
| 1952884181 | Capitol Care, Inc. | Community/Behavioral Health | 6 Laddey Lane, Sparta, NJ 07871 | 2018-09-13 |
| Find all providers in zip 07871 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
| 1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
| 1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
| 1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. JEANETTE MARIE PORTER.
| 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.