| Joseph Victor Portale, MD | |
|
1 Capital Way, Pennington, NJ 08534-2520 | |
| (609) 303-4010 | |
| Not Available |
| Full Name | Joseph Victor Portale |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1 Capital Way, Pennington, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255505350 | NPI | - | NPPES |
| 0266434 | Medicaid | NJ | |
| 102613710 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD441922 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | 25MA09236400 (New Jersey) | Primary |
| Entity Name | Princeton Healthcare Affiliated Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518194323 PECOS PAC ID: 2567598022 Enrollment ID: O20100413000141 |
| Entity Name | Emergency Physician Services Of New Jersey,professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831539568 PECOS PAC ID: 1052554177 Enrollment ID: O20130821000326 |
| Entity Name | Capital Health Multispecialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083072342 PECOS PAC ID: 1850689894 Enrollment ID: O20161007000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Victor Portale, MD 1 Capital Way, Pennington, NJ 08534-2520 Ph: (609) 303-4010 | Joseph Victor Portale, MD 1 Capital Way, Pennington, NJ 08534-2520 Ph: (609) 303-4010 |
Jennifer Jie Xu, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-303-4010 | |
Dr. Jessica Lynn Williams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-303-4010 Fax: 609-537-6168 | |
Yoganand Deendyal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-303-4000 | |
Dr. Rebecca Beth Apollon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-303-4010 | |
Brian C. Tucker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-303-4010 Fax: 609-537-6168 | |
Carlos A Vaca, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-303-4010 Fax: 609-537-6168 |