Individual provider Active NPI

Edwin Alberto Hernandez Portillo

  • Student in an Organized Health Care Education/Training Program
  • Langhorne, PA
National Provider Identifier
1285581272
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
39 Issued in PA
Practice address
1201 Langhorne Newtown Rd Ste 1
Langhorne, PA 19047-1295
Phone
(215) 710-6845
NPI assigned
Mar 11, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 39 PA Primary

Addresses

Primary practice location

1201 Langhorne Newtown Rd Ste 1
Langhorne, PA 19047-1295

Mailing address

1201 Langhorne Newtown Rd Ste 1
Langhorne, PA 19047-1295
Phone (215) 710-6845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260325000283 PA Order and Referring Only - Family PracticePractitioner - Family Practice 3476037763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39PAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1285581272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 LANGHORNE NEWTOWN RD STE 1",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471295",
            "telephone_number": "215-710-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LANGHORNE NEWTOWN RD STE 1",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471295",
            "telephone_number": "215-710-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ PORTILLO",
        "first_name": "EDWIN",
        "middle_name": "ALBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.