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JOSEPH VICTOR PORTALE M.D.
NPI 1255505350
Emergency Medicine in Pennington, NJ

Active since April 18, 2008PECOS EnrolledAccepts Medicare Assignment
84.6/100
CMS Quality Rating
1 CAPITAL WAY, PENNINGTON, NJ 08534(609) 303-4010 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2023, Dec 10, 2020 (2 updates tracked since 2020).

About Joseph Victor Portale M.d. NPPES

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

JOSEPH VICTOR PORTALE M.D. (NPI 1255505350) is an individual emergency medicine provider in Pennington, New Jersey, licensed in New Jersey (25MA09236400) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1255505350
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOSEPH VICTOR PORTALECredential: M.D.
Location Address1 CAPITAL WAYPennington, NJ 08534-2520
Mailing Address1 Capital WayPennington, NJ 08534-2520 · (609) 303-4010
Phone(609) 303-4010
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2008
Enumeration DateApril 18, 2008
Last NPPES UpdateOctober 5, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1255505350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NJ · 25MA09236400✔ Licensed in PA · MD441922
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 CAPITAL WAY, Pennington, NJ 08534
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11020 Sansom St, Ste 239Philadelphia, PA 19107-5002 · Phone (215) 955-6844 · Fax (215) 955-2526
Location 21 Plainsboro RdPlainsboro, NJ 08536-1913 · Phone (609) 853-7700
Location 3750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6063

Other Identifiers 2

Medicaid0266434NJ
Medicaid102613710PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joseph Victor Portale M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880866227
PECOS Enrollment IDI20130515000571
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Joseph Portale reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Princeton Healthcare Affiliated Physicians PC
4.1 mi
Family Medicine
100 FEDERAL CITY RD
Lawrenceville, NJ 08648
  • Reassigned Medicare billing, New Jersey enrollment
  • 249 clinicians in this Medicare group
NPI 1518194307 (609) 620-1380
Capital Health Multispecialty Group
7.2 mi
Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 clinicians in this Medicare group
NPI 1083072342 (609) 394-6000
Emergency Physician Services Of New Jersey,professional Association
24 mi
Emergency Medicine
175 MADISON AVE
Mount Holly, NJ 08060
  • Reassigned Medicare billing, New Jersey enrollment
  • 248 clinicians in this Medicare group
NPI 1831539568 (856) 686-4304

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
85 services84 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
49 services49 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
41 services41 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08534 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality85.48
Improvement Activities40
Cost66.71

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.

AARTI SANJEEV VADHAVKAR M.D.
Anesthesiology
1 CAPITAL WAY, DEPT OF ANESTHESIOLOGY, CAPITAL HEALTH HOPEWELL MEDICAL
PENNINGTON, NJ 08534
Mercer County (800) 637-2374
MRS. EMILY KATHERINE WARIAS NP
Nurse Practitioner
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (609) 303-6000
DANIEL FINKE CRNA
Nurse Anesthetist, Certified Registered
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (800) 637-2374
JENNIFER JIE XU DO
Emergency Medicine
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (609) 303-4010
RICHU RAJU MD
Emergency Medicine
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (609) 303-4000
SRIYA AMRUTA KOSARAJU MD
Student in an Organized Health Care Education/Training Program
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (800) 637-2374
KAREN B GIQUINTO CRNP
Nurse Practitioner
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (609) 303-4000
CANDICE A DISANTI CNM
Advanced Practice Midwife
1 CAPITAL WAY
PENNINGTON, NJ 08534
Mercer County (609) 303-4000

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 Joseph Portale's NPI number?

The NPI number for Joseph Portale is 1255505350. It was assigned to this individual provider in the NPPES registry on April 18, 2008.

Where is Joseph Portale located?

Joseph Portale practices at 1 Capital Way, Pennington, NJ 08534. The listed phone number is (609) 303-4010.

What is Joseph Portale's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Joseph Portale enrolled in Medicare?

Yes. Joseph Portale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Joseph Portale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Portale reassigns Medicare benefits to 3 organizations: Princeton Healthcare Affiliated Physicians PC (Lawrenceville, NJ), Capital Health Multispecialty Group (Trenton, NJ) and Emergency Physician Services Of New Jersey,professional Association (Mount Holly, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Portale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Portale accept?

Health plans from Oscar Health list Joseph Portale as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joseph Portale affiliated with any hospitals?

According to CMS data, Joseph Portale is affiliated with Capital Health Medical Center - Hopewell and Capital Health Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Portale was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.