Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Doctor Poretskaya Medical Practice, PA

Organization Legal Medicine · NPI 1912303819

Doctor Poretskaya Medical Practice, PA provides Legal Medicine in Elizabeth, New Jersey. Licensed in New Jersey. Registered with an NPI since 2014.

Licensed in
NJ
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

645 Elizabeth Ave
Elizabeth, NJ 07206-1131 Not confirmed with CMS for 11 years — call before visiting
Phone: (908) 662-2222
Fax: (908) 450-6150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X · Licence 25MA08695400 (NJ)

Record details

NPI number1912303819
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lyudmila Poretskaya — Owner · (551) 574-2177
NPI enumeratedNovember 5, 2014
Last updated in NPPESNovember 5, 2014
Mailing address1018 Palisade Ave, Apt 18, Fort Lee, NJ 07024-6300

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