Laporta, Jennifer Ann

Laporta, Jennifer Ann is an individual health care provider with primary practice located at 766 Shrewsbury Ave Bldg Suite101 , Tinton Falls NJ 07724-3001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Laporta, Jennifer Ann can be contacted via phone (732) 945-2009.

Contact Information

Primary practice address
766 Shrewsbury Ave Bldg Suite101 Tinton Falls NJ 07724-3001
Fax: (732) 747-8697
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA10005700 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 287545 New York

Profile Details

NPI number 1538587563
LBN Legal business name Laporta, Jennifer Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2014
Last updated Sep 28th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538587563 NPPES
New York MEDICAID 04782743
New York MEDICAID 0685984
New York Other 823848
New York Other A400174459

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