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JENNY MARIE PORTUALLO
NPI 1184266256
Specialist in Smithtown, NY

Active since October 10, 2019
1 OAKSIDE RD, SMITHTOWN, NY 11787(631) 672-4185 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jenny Marie Portuallo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNY MARIE PORTUALLO (NPI 1184266256) is an individual specialist in Smithtown, New York and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1184266256
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNY MARIE PORTUALLO
Location Address1 OAKSIDE RDSmithtown, NY 11787-1555
Mailing Address1 Oakside RdSmithtown, NY 11787-1555 · (631) 672-4185
Phone(631) 672-4185
Sole ProprietorNo
Enumeration DateOctober 10, 2019
✔ NPI 1184266256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1 OAKSIDE RD, Smithtown, NY 11787
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Other Names 1

Former Name (1)Jenny Marie Marino

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenny Portuallo's NPI number?

The NPI number for Jenny Portuallo is 1184266256. It was assigned to this individual provider in the NPPES registry on October 10, 2019. The provider is also known as Jenny Marie Marino.

Where is Jenny Portuallo located?

Jenny Portuallo practices at 1 Oakside Rd, Smithtown, NY 11787. The listed phone number is (631) 672-4185.

What is Jenny Portuallo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jenny Portuallo was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.