Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Doctor Poretskaya Medical Practice, PA

Organization Legal Medicine · NPI 1912303819

Doctor Poretskaya Medical Practice, PA is a 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
Phone: (908) 662-2222
Fax: (908) 450-6150
Show map & directions

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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