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JENNIFER PORTAL FNP
NPI 1457247264
Nurse Practitioner - Family in Patchogue, NY

Active since June 17, 2025
155 E WOODSIDE AVE, PATCHOGUE, NY 11772(631) 758-6565 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Portal Fnp NPPES

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

JENNIFER PORTAL FNP (NPI 1457247264) is an individual family provider in Patchogue, New York, licensed in New York (357413) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1457247264
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER PORTALCredential: FNP
Location Address155 E WOODSIDE AVEPatchogue, NY 11772-1421
Mailing Address44 Pennsylvania AveMedford, NY 11763-3718 · (631) 804-1955
Phone(631) 758-6565
Sole ProprietorNo
Enumeration DateJune 17, 2025
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1457247264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 357413
Also ListedRegistered NurseTaxonomy 163W00000X · License 785981 (NY)
155 E WOODSIDE AVE, Patchogue, NY 11772
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Other Names 1

Former Name (1)Jennifer Berrios Rn

Other Providers at the Same Location NPPES 9

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

JOANNA TUTRONE P.A.
Physician Assistant (Medical)
155 E WOODSIDE AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-6565
DEBRA TESORIERO NP
Nurse Practitioner (Pediatrics)
155 E WOODSIDE AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-6565
SUDHA KUNCHAM MD
Specialist
155 E WOODSIDE AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-6565
MANJULA CHATTERJEE M.D.
Pediatrics (Pediatric Endocrinology)
155 E WOODSIDE AVE
PATCHOGUE, NY 11772
Suffolk County (646) 283-7151
CHRISTAL M ALEXANDER RPAC
Physician Assistant
155 E WOODSIDE AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-6565
JASKIRAT KAUR FNP-BC
Nurse Practitioner (Family)
155 E WOODSIDE AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-6565
DR. KANAK L. NARAIN D.D.S.
Dentist (General Practice)
155 E WOODSIDE AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-6565
SV PEDIATRICS
Nurse Practitioner (Pediatrics)
155 E WOODSIDE AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-6565

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 Jennifer Portal's NPI number?

The NPI number for Jennifer Portal is 1457247264. It was assigned to this individual provider in the NPPES registry on June 17, 2025. The provider is also known as Jennifer Berrios Rn.

Where is Jennifer Portal located?

Jennifer Portal practices at 155 E Woodside Ave, Patchogue, NY 11772. The listed phone number is (631) 758-6565.

What is Jennifer Portal's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer Portal was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.