JAMES PORMENTILLA (P.A.) – Physician Assistant, NPI 1114159332

JAMES PORMENTILLA (P.A.) is a healthcare provider. based in Livingston, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. The NPI Number for JAMES PORMENTILLA (P.A.) is 1114159332

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
JAMES PORMENTILLA (P.A.)
NPI
1114159332
Phone
(800) 345-0064
Address
PO BOX 717
Enumeration Date
21 August 2009
Last Update Date
21 August 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9736718775
Graduation Year
2009 (17 years ago)
PAC ID
0547306151
Group Practice PAC ID
9638396849
Professional Enrollment ID
I20091013000595
Address ID
NJ088572306OL2624X516X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:16State licenses:0Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

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Provider Addresses for JAMES PORMENTILLA (P.A.)

  • PO BOX 717

    LIVINGSTON, NJ 070390717

    Phone: (800) 345-0064

    Fax: (973) 251-1109

    Type: Mailing

  • Clara Maass Medical Center, 1, Clara Maass Drive, Belleville, Essex County, New Jersey, 07109, United States

    CLARA MAASS MEDICAL CENTER

    BELLEVILLE, NJ 071093550

    Phone: (973) 450-2000

    Fax: (973) 251-1109

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091013000595IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes216182$0
99203New patient office or other outpatient visit, 30-44 minutes9494$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus9084$0
99212Established patient office or other outpatient visit, 10-19 minutes3938$0
81002Urinalysis, manual test3333$0
View full utilization report →

Insurance plans in this area (ZIP 07039)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638396849View full group profile

Reviews

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Frequently asked questions

Where can patients find JAMES PORMENTILLA (P.A.)'s NPI?
You can confirm JAMES PORMENTILLA (P.A.) with NPI 1114159332; it appears in the national provider directory.
Is JAMES PORMENTILLA (P.A.)'s NPI currently valid?
The extract we use shows JAMES PORMENTILLA (P.A.) as active.
What does JAMES PORMENTILLA (P.A.) treat or focus on?
Patients typically see JAMES PORMENTILLA (P.A.) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for JAMES PORMENTILLA (P.A.)?
The page summarizes Livingston, New Jersey for JAMES PORMENTILLA (P.A.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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