MEDICARE: DR. ANDREW J PORGES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	171799	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P00071789	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3031654	OTHER	NY	AETNA
2	P2828820	OTHER	NY	OXFORD
3	34458	OTHER	NY	VYTRA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	4C5382	OTHER	NY	HEALTHNET
6	113662047	OTHER	NY	EMPIRE PLAN
8	113662047	OTHER	NY	UNITED HEALTHCARE
9	1799901	OTHER	NY	GHI
10	113662047	OTHER	NY	CIGNA
11	115647P	OTHER	NY	HIP

General Provider Information

NPI Number	:	1295771087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW J PORGES MD

Provider Business Mailing Address
First Line	:	700 HICKSVILLE RD STE 205
Second Line	:
City	:	BETHPAGE
State	:	NY
Zip	:	11714-3472
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1999 MARCUS AVE STE 306
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11042-1023
Country	:	US
Telephone Number	:	516-467-8600
Fax Number	:	646-754-9821

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	05/07/2026

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