DR. KATHLEEN NORTHROP PORDER MD
NPI 1417030610
Pediatrics - Adolescent Medicine in Bronx, NY
About Dr. Kathleen Northrop Porder Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHLEEN NORTHROP PORDER MD (NPI 1417030610) is an individual adolescent medicine provider in Bronx, New York, licensed in New York (156400) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kathleen Northrop Porder Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
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 Kathleen Porder's NPI number?
The NPI number for Kathleen Porder is 1417030610. It was assigned to this individual provider in the NPPES registry on October 23, 2006.
Where is Kathleen Porder located?
Kathleen Porder practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 918-4568.
What is Kathleen Porder's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Kathleen Porder enrolled in Medicare?
Yes. Kathleen Porder is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kathleen Porder was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Kathleen Northrop Porder, MD · NPI 1417030610
Adolescent Medicine physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1417030610 (Entity type: Individual)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** 156400 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 PELHAM PKWY S, Bronx, NY 10461-1138
- **Phone:** (718) 918-4568
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1417030610) · Data from the CMS NPPES public registry.