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BRIAN JOSEPH PORTANOVA FNP-BC
NPI 1336595800
Nurse Practitioner - Family in Mc Guire Afb, NJ

Active since May 13, 2016PECOS Enrolled
3458 NEELY RD, MC GUIRE AFB, NJ 08641(609) 754-9464(609) 754-9133 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2026, May 12, 2026, Jul 24, 2020 and 2 more (5 updates tracked since 2016).

About Brian Joseph Portanova Fnp-bc NPPES

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

BRIAN JOSEPH PORTANOVA FNP-BC (NPI 1336595800) is an individual family provider in Mc Guire Afb, New Jersey, licensed in New Jersey (26NJ00628000) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336595800
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRIAN JOSEPH PORTANOVACredential: FNP-BC
Location Address3458 NEELY RDMc Guire Afb, NJ 08641-5312
Mailing Address3458 Neely RdMc Guire Afb, NJ 08641-5312 · (609) 754-9464 · Fax (609) 754-9133
Phone(609) 754-9464
Fax(609) 754-9133
Sole ProprietorNo
Enumeration DateMay 13, 2016
Last NPPES UpdateJuly 8, 20265 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1336595800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NJ · 26NJ00628000✔ Licensed in PA · SP015756
3458 NEELY RD, Mc Guire Afb, NJ 08641
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Joseph Portanova Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Brian Portanova reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Active Health Marlton LLC
19 mi
Family Medicine
601 ROUTE 73 N STE 104
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 17 clinicians in this Medicare group
NPI 1265161905 (609) 886-8585
Advocare, LLC
19 mi
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group
NPI 1770538696 (856) 872-7055
Regional Cancer Care Associates LLC
22 mi
Hematology & Oncology
40 BEY LEA RD STE A202
Toms River, NJ 08753
  • Reassigned Medicare billing, New Jersey enrollment
  • 247 clinicians in this Medicare group
NPI 1801850243 (732) 367-1535
Garden State Psychiatric Services, LLC
31 mi
Mental Health (Including Community Mental Health Center)
58 EUCLID ST
Woodbury, NJ 08096
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1932766847 (856) 628-4504
Active Health Marmora LLC
53 mi
Family Medicine
16 ROOSEVELT BLVD
Marmora, NJ 08223
  • Reassigned Medicare billing, New Jersey enrollment
  • 16 clinicians in this Medicare group
NPI 1629707369 (609) 886-8585
Regenerative Medicine Of South Jersey LLC
72 mi
Family Medicine
1501 ROUTE 47
Rio Grande, NJ 08242
  • Reassigned Medicare billing, New Jersey enrollment
  • 25 clinicians in this Medicare group
NPI 1992342109 (605) 224-1576

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08641 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANETTE SEDA RD LDN
Dietitian, Registered
3458 NEELY RD
MC GUIRE AFB, NJ 08641
Burlington County (609) 754-9297
DR. NOANA ISSAR-GRILL DDS
Dentist (General Practice)
3458 NEELY RD
JB MDL, NJ 08641
Burlington County (609) 754-3786
VICTOR I EGUAIBOR LCSW
Social Worker (Clinical)
3458 NEELY RD
MC GUIRE AFB, NJ 08641
Burlington County (866) 377-2778
CRYSTAL KELLERT SOCIAL WORKER
Social Worker
3458 NEELY RD
JB MDL, NJ 08641
Burlington County (609) 754-9622
MARCELLE YVONNE KENDRICK CRNP
Nurse Practitioner (Psychiatric/Mental Health)
3458 NEELY RD
JB MDL, NJ 08641
Burlington County (609) 754-9324
MATTHEW D SCHMITT
Psychologist
3458 NEELY RD
TRENTON, NJ 08641
Burlington County (609) 754-9324
MRS. MICHELLE NELSON LCSW
Social Worker
3458 NEELY RD
MC GUIRE AFB, NJ 08641
Burlington County (609) 754-9448
MR. GARY ALAN FRIEDMAN IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
3458 NEELY RD
MCGUIRE AFB, NJ 08641
Burlington County (937) 689-9208

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 Brian Portanova's NPI number?

The NPI number for Brian Portanova is 1336595800. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Where is Brian Portanova located?

Brian Portanova practices at 3458 Neely Rd, Mc Guire Afb, NJ 08641. The listed phone number is (609) 754-9464.

What is Brian Portanova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brian Portanova enrolled in Medicare?

Yes. Brian Portanova is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brian Portanova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Portanova reassigns Medicare benefits to 6 organizations: Active Health Marlton LLC (Marlton, NJ), Advocare, LLC (Marlton, NJ), Regional Cancer Care Associates LLC (Toms River, NJ), Garden State Psychiatric Services, LLC (Woodbury, NJ), Active Health Marmora LLC (Marmora, NJ) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Portanova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Portanova was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.