| Brian Joseph Portanova, FNP-BC | |
|
45 Euclid St Ste 200, Woodbury, NJ 08096-4631 | |
| (856) 628-4504 | |
| Not Available |
| Full Name | Brian Joseph Portanova |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 45 Euclid St Ste 200, Woodbury, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336595800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 26NJ00628000 (New Jersey) | Primary |
| 363LF0000X | Nurse Practitioner - Family | SP015756 (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Garden State Psychiatric Services, Llc | 0143550392 | 2 |
| Entity Name | Advocare , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
| Entity Name | Regional Cancer Care Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801850243 PECOS PAC ID: 5294710091 Enrollment ID: O20040623001494 |
| Entity Name | Regenerative Medicine Of South Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992342109 PECOS PAC ID: 5799111860 Enrollment ID: O20200210000019 |
| Entity Name | Rheumatology And Arthritis Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639719701 PECOS PAC ID: 8224464094 Enrollment ID: O20200214001573 |
| Entity Name | Citylife Clinics Nj Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437649845 PECOS PAC ID: 8628408283 Enrollment ID: O20200422000830 |
| Entity Name | Monogram Health Professional Services Of New Jersey Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578284246 PECOS PAC ID: 4486028396 Enrollment ID: O20230316000005 |
| Entity Name | Active Health Marmora Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629707369 PECOS PAC ID: 2961853122 Enrollment ID: O20240111004280 |
| Entity Name | Active Health Marlton Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265161905 PECOS PAC ID: 4486097706 Enrollment ID: O20240202003806 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Joseph Portanova, FNP-BC 45 Euclid St Ste 200, Woodbury, NJ 08096-4631 Ph: (856) 628-4504 | Brian Joseph Portanova, FNP-BC 45 Euclid St Ste 200, Woodbury, NJ 08096-4631 Ph: (856) 628-4504 |
Mr. Joseph B Phillips Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1916 Asbury Ave, Woodbury, NJ 08096 Phone: 856-264-3394 | |
Dawn Hagerman, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22 N Broad St Fl 2, Woodbury, NJ 08096 Phone: 856-436-0035 Fax: 833-740-4280 | |
Lacey Liles, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 75 W Red Bank Ave, Woodbury, NJ 08096 Phone: 856-451-4700 | |
Yaa Serwaah Opare- Afari, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 22 N Broad St Fl 2, Woodbury, NJ 08096 Phone: 856-436-0035 Fax: 833-740-4280 | |
Mrs. Shelly Robin Schneider, APN,C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17 W Red Bank Ave, Suite 205, Woodbury, NJ 08096 Phone: 856-853-0900 Fax: 856-853-5838 | |
Miss Indira Michelle Chandler, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Lupton Ave, Woodbury, NJ 08096 Phone: 856-537-5081 | |
Leeanne Anderson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45 Euclid St # 200, Woodbury, NJ 08096 Phone: 566-284-5048 |