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OMAR PORTILLO
NPI 1750132213
Social Worker - School in Brentwood, NY

Active since April 01, 2024
2 6TH AVE, BRENTWOOD, NY 11717(631) 434-2204 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omar Portillo NPPES

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

OMAR PORTILLO (NPI 1750132213) is an individual school provider in Brentwood, New York, licensed in New York (113784) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1750132213
Entity TypeIndividualMale
Primary Taxonomy1041S0200X
Provider Legal NameOMAR PORTILLO
Location Address2 6TH AVEBrentwood, NY 11717-6110
Mailing Address116 Waverly Ave Apt 4Patchogue, NY 11772-2186 · (631) 520-3997
Phone(631) 434-2204
Sole ProprietorNo
Enumeration DateApril 1, 2024
NPPES CertifiedMarch 31, 2024
✔ NPI 1750132213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers
Taxonomy Code1041S0200X
License✔ Licensed in NY · 113784
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 113784 (NY)
2 6TH AVE, Brentwood, NY 11717
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Other Providers at the Same Location NPPES 5

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

MR. DAVID WARREN GOLDFARB RLCSW
Social Worker (School)
2 6TH AVE
BRENTWOOD, NY 11717
Suffolk County (631) 434-2561
MRS. JANET O'MARA RN
Registered Nurse
2 6TH AVE
BRENTWOOD, NY 11717
Suffolk County (631) 434-2481
MRS. LYNDA JOAN COYSH R.N.
Registered Nurse (School)
2 6TH AVE
BRENTWOOD, NY 11717
Suffolk County (631) 434-2481
MRS. KRISTIE LYNN D'ELIA MA CCC-SLP, TSSLD
Speech-Language Pathologist
2 6TH AVE
BRENTWOOD, NY 11717
Suffolk County (631) 434-2204
MR. TODD SACCOCCIA
Assistant Behavior Analyst
2 6TH AVE
BRENTWOOD, NY 11717
Suffolk County (631) 434-2204

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 Omar Portillo's NPI number?

The NPI number for Omar Portillo is 1750132213. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Omar Portillo located?

Omar Portillo practices at 2 6th Ave, Brentwood, NY 11717. The listed phone number is (631) 434-2204.

What is Omar Portillo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Omar Portillo was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.