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DR. NICOLE PORTI M.D.
NPI 1568622173
Pediatrics - Pediatric Emergency Medicine in Elmhurst, NY

Active since June 17, 2008PECOS Enrolled
7901 BROADWAY DEPT OF, ELMHURST, NY 11373(718) 334-1591 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 4, 2023, May 12, 2020 (2 updates tracked since 2020).

About Dr. Nicole Porti M.d. NPPES

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

DR. NICOLE PORTI M.D. (NPI 1568622173) is an individual pediatric emergency medicine provider in Elmhurst, New York, licensed in New York (248182) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568622173
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameDR. NICOLE PORTICredential: M.D.
Location Address7901 BROADWAY DEPT OFElmhurst, NY 11373-1329
Mailing Address7901 Broadway Rm A1-19Elmhurst, NY 11373-1329 · (718) 334-1591
Phone(718) 334-1591
Sole ProprietorYes
Enumeration DateJune 17, 2008
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1568622173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NY · 248182
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
7901 BROADWAY DEPT OF, Elmhurst, NY 11373
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Porti M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show Nicole Porti reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Icahn School Of Medicine At Mount Sinai
Same address
Obstetrics & Gynecology
7901 BROADWAY
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 836 clinicians in this Medicare group
NPI 1578817540 (718) 334-1591
Montefiore Medical Center
5.7 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331
Bronxcare Health System
6.1 mi
Psychiatry
1276 FULTON AVE
Bronx, NY 10456
  • Reassigned Medicare billing, New York enrollment
  • 795 clinicians in this Medicare group
NPI 1073806519 (718) 901-8920
New York University
1,041 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

Other Providers at the Same Location NPPES 3

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

NITYANANDA RAO JAKKULA MD
Orthopaedic Surgery (Orthopaedic Trauma)
7901 BROADWAY DEPT OF
ELMHURST, NY 11373
Queens County (662) 394-5006
ALEXIS CARRINGTON MD
Student in an Organized Health Care Education/Training Program
7901 BROADWAY DEPT OF
ELMHURST, NY 11373
Queens County (718) 334-3440
DR. ADEL ZAKHARIA MD
Student in an Organized Health Care Education/Training Program
7901 BROADWAY DEPT OF
ELMHURST, NY 11373
Queens County (718) 334-2663

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 Nicole Porti's NPI number?

The NPI number for Nicole Porti is 1568622173. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Nicole Porti located?

Nicole Porti practices at 7901 Broadway Dept Of, Elmhurst, NY 11373. The listed phone number is (718) 334-1591.

What is Nicole Porti's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Nicole Porti enrolled in Medicare?

Yes. Nicole Porti is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Porti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Porti reassigns Medicare benefits to 4 organizations: Icahn School Of Medicine At Mount Sinai (Elmhurst, NY), Montefiore Medical Center (New York, NY), Bronxcare Health System (Bronx, NY) and New York University (Boynton Beach, FL). 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 Nicole Porti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Porti was last updated on October 4, 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.