MRS. JEANETTE MARIE PORTER PHYSICIAN ASSISTANT
NPI 1679662480
Physician Assistant - Surgical in Sparta, NJ

Active since October 11, 2006
540 LAFAYETTE RD, SUITE D, SPARTA, NJ 07871(973) 300-1553(973) 383-6236 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jeanette Marie Porter Physician Assistant NPPES

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

MRS. JEANETTE MARIE PORTER PHYSICIAN ASSISTANT (NPI 1679662480) is an individual surgical provider in Sparta, New Jersey, licensed in New Jersey (25MP00223600) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1679662480
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. JEANETTE MARIE PORTERCredential: PHYSICIAN ASSISTANT
Location Address540 LAFAYETTE RD, SUITE DSparta, NJ 07871-3497
Mailing Address540 Lafayette Rd, Suite DSparta, NJ 07871-3497 · (973) 300-1553 · Fax (973) 383-6236
Fax(973) 383-6236
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateOctober 1, 2009
NPI 1679662480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in NJ · 25MP00223600 Licensed in AZ · 3500
Also ListedPhysician AssistantTaxonomy 363A00000X · License 3500 (AZ)
540 LAFAYETTE RD, Sparta, NJ 07871

Other Names 1

Former Name (1)Jeanette Marie Powers

Other Providers at the Same Location NPPES 11

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

Physical Therapist
540 LAFAYETTE RD, SUITE B
SPARTA, NJ 07871
Anesthesiology (Pain Medicine)
540 LAFAYETTE RD
SPARTA, NJ 07871
Speech-Language Pathologist
540 LAFAYETTE RD
SPARTA, NJ 07871
Speech-Language Pathologist
540 LAFAYETTE RD
SPARTA, NJ 07871
Speech-Language Pathologist
540 LAFAYETTE RD
SPARTA, NJ 07871
Physical Therapist
540 LAFAYETTE RD, SUITE B
SPARTA, NJ 07871
Specialist
540 LAFAYETTE RD, SUITE D
SPARTA, NJ 07871
Physician Assistant (Surgical)
540 LAFAYETTE RD
SPARTA, NJ 07871

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 Jeanette Porter's NPI number?

The NPI number for Jeanette Porter is 1679662480. It was assigned to this individual provider in the NPPES registry on October 11, 2006. The provider is also known as Jeanette Marie Powers.

Where is Jeanette Porter located?

Jeanette Porter practices at 540 Lafayette Rd Suite D, Sparta, NJ 07871. The listed phone number is (973) 300-1553.

What is Jeanette Porter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jeanette Porter was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.