KELLY R PORTA PA
NPI 1215112164
Physician Assistant in New Hyde Park, NY

Active since January 09, 2008
27005 76TH AVE, NEW HYDE PARK, NY 11040(718) 470-4455(718) 470-7270 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly R Porta Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY R PORTA PA (NPI 1215112164) is an individual physician assistant in New Hyde Park, New York, licensed in New York (008808) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1215112164
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY R PORTACredential: PA
Location Address27005 76TH AVENew Hyde Park, NY 11040-1433
Mailing Address972 Brush Hollow RdWestbury, NY 11590-1740 · (516) 876-5555 · Fax (516) 876-1246
Fax(718) 470-7270
Sole ProprietorYes
Enumeration DateJanuary 9, 2008
NPI 1215112164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 008808
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

27005 76TH AVE, New Hyde Park, NY 11040

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Internal Medicine
27005 76TH AVE
NEW HYDE PARK, NY 11040
General Acute Care Hospital
27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Emergency Medicine
27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Radiology (Diagnostic Radiology)
27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040
Nurse Practitioner (Women's Health)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Physician Assistant (Medical)
27005 76TH AVE
NEW HYDE PARK, NY 11040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Porta's NPI number?

The NPI number for Kelly Porta is 1215112164. It was assigned to this individual provider in the NPPES registry on January 9, 2008.

Where is Kelly Porta located?

Kelly Porta practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-4455.

What is Kelly Porta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kelly Porta was last updated on January 9, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.