Brian J Portanova, FNP-BC
Nurse Practitioner, Family in Mc Guire Afb, New Jersey
1336595800- Practice location
- 3458 Neely RD, Mc Guire Afb, NJ 08641-5312
- Phone
- 609-754-9464
- Fax
- 609-754-9133
- Last updated
- July 8, 2026
Brian Joseph Portanova is a Nurse Practitioner, Family based in Mc Guire Afb, NJ. Brian Joseph Portanova practices in Mc Guire Afb, NJ and has the professional credentials of FNP-BC. The NPI Number for Brian Joseph Portanova is 1336595800 and holds a License No. 26NJ00628000 (NJ). The current practice location address for Brian Joseph Portanova is 3458 Neely RD, Mc Guire Afb, NJ 08641-5312 and can be reached out via phone at 609-754-9464 and via fax at 609-754-9133.
Provider Profile Details
- NPI Number
- 1336595800
- Provider Name
- Brian Joseph Portanova
- Credential
- FNP-BC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3458 Neely RD, Mc Guire Afb, NJ 08641-5312
- Phone Number
- 609-754-9464
- Fax Number
- 609-754-9133
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 13, 2016
- Last Update Date
- July 8, 2026
- Certification Date
- July 8, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3458 Neely RD
Mc Guire Afb, NJ 08641-5312 - City
- Mc Guire Afb
- State
- New Jersey
- Zip
- 08641-5312
- Phone Number
- 609-754-9464
- Fax Number
- 609-754-9133
Provider Business Mailing Address Details
- Address
- 3458 Neely RD
Mc Guire Afb, NJ 08641-5312 - City
- Mc Guire Afb
- State
- NJ
- Zip
- 08641-5312
- Phone Number
- 609-754-9464
- Fax Number
- 609-754-9133
License Information
- License Number (1)
- 26NJ00628000
- License State (1)
- NJ
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X · Primary
- License Number (2)
- SP015756
- License State (2)
- PA
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Brian J Portanova, FNP-BC?
The NPI number of Brian J Portanova, FNP-BC is 1336595800. It was assigned on May 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Brian J Portanova, FNP-BC?
Brian J Portanova, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00628000.
Where does Brian J Portanova, FNP-BC practice?
The practice location is 3458 Neely RD, Mc Guire Afb, NJ 08641-5312. The office can be reached at 609-754-9464 (phone) or 609-754-9133 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336595800 directly on the NPPES registry website.