Provider Demographics
NPI:1801527650
Name:CORTES, GINO ANGELO (MS, FNP-BC)
Entity type:Individual
Prefix:MR
First Name:GINO
Middle Name:ANGELO
Last Name:CORTES
Suffix:
Gender:M
Credentials:MS, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 NJ-70
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701
Mailing Address - Country:US
Mailing Address - Phone:732-719-8149
Mailing Address - Fax:
Practice Address - Street 1:1021 STEAMBOAT PKWY STE 120
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-6432
Practice Address - Country:US
Practice Address - Phone:775-352-5300
Practice Address - Fax:775-683-6789
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021345363LF0000X
NV888879363LF0000X
NJ26NJ01325800363LF0000X
COC-APN.0104146-C-NP363LF0000X
GAGAA-NP002975363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily