SANDRA REVAK (NPI# 1508221870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508221870 |
| Entity Type | Individual |
| Full Name | SANDRA REVAK |
| Credential | FNP |
| Practice Address |
239 Hurffville Crosskeys Rd Suite 160 Sewell NJ 08080-4002 |
| Mailing Address |
7000 Atrium Way Suite 6 Mount Laurel NJ 08054-3917 |
| Practice Telephone | 8563418200 |
| Practice Fax Number | 8563418212 |
| Mailing Telephone | 8562064508 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 26NR15492200 | NJ | Nursing Service Providers |
| Street Address |
239 HURFFVILLE CROSSKEYS RD SUITE 160 |
| City | SEWELL |
| State | NJ |
| Zip Code | 08080-4002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649269309 | Dorothy Iannaco | Nurse Practitioner | 239 Hurffville Crosskeys Rd, Suite 160, Sewell, NJ 08080-4002 | 2005-10-17 |
| 1508338328 | Erin Wickersham | Dietitian, Registered | 239 Hurffville Crosskeys Rd, Sewell, NJ 08080-4002 | 2018-12-18 |
| 1720538564 | Virtua Medical Group, Pa | Clinic/Center | 239 Hurffville Crosskeys Rd, Suite#160, Sewell, NJ 08080 | 2016-10-05 |
| 1497129571 | Megan Marie Sabin | Nurse Practitioner | 239 Hurffville Crosskeys Rd, Suite 350, Sewell, NJ 08080-4002 | 2015-11-30 |
| 1720471535 | Regional Womens Health Group,llc | Obstetrics & Gynecology | 239 Hurffville Crosskeys Rd, Suite 250, Sewell, NJ 08080-4002 | 2015-03-18 |
| 1023415866 | Reconstructive Orthopedics, P.a. | Physical Medicine & Rehabilitation | 239 Hurffville Crosskeys Rd, Suite 440, Sewell, NJ 08080-4002 | 2014-11-21 |
| 1609206523 | Stacia Guillen | Registered Nurse | 239 Hurffville Crosskeys Rd, Sewell, NJ 08080-4002 | 2013-11-13 |
| 1154669950 | Temple University of The Commonwealth System of Higher Education | Radiology | 239 Hurffville Crosskeys Rd, Virtua Fccc, Sewell, NJ 08080-4002 | 2013-01-29 |
| 1962777953 | Regional Cancer Care Associates | Obstetrics & Gynecology | 239 Hurffville Crosskeys Rd, Suite 480, Sewell, NJ 08080-4002 | 2012-03-09 |
| 1881983997 | Rittenhouse Oncology Specialists PC | Radiology | 239 Hurffville Crosskeys Rd, Suite 190, Sewell, NJ 08080-4002 | 2011-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679180301 | Peter Ansong | Pharmacist | 500 Egg Harbor Road, Sewell, NJ 08080 | 2020-09-27 |
| 1477018752 | Shi-iii Washington Township LLC | Alzheimer Center (Dementia Center) | 339 Greentree Road, Washington Township, NJ 08080 | 2019-01-31 |
| 1245741495 | Assoc. for Retarded Citizens. Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Fawn Drive, Sewell, NJ 08080 | 2017-10-16 |
| 1851802029 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 275 Greentree Road, Sewell, NJ 08080 | 2017-10-16 |
| 1598284770 | Bryan Hendricks | Psychologist | 123 Egg Harbor Rd., Suite 302, Sewell, NJ 08080 | 2017-09-19 |
| 1912426339 | Mary Faralli | Speech-Language Pathologist | 24 Upton Way, Sewell, NJ 08080 | 2017-09-18 |
| 1669990578 | Oaks Integrated Care | Clinic/Center | 322 Fishpond Rd, Sewell, NJ 08080 | 2017-08-31 |
| 1972032316 | Nutan K Ravani | Social Worker | 3 Heritage Valley Drive, Sewell, NJ 08080 | 2017-06-08 |
| 1447784038 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 224 West Warren Avenue, Sewell, NJ 08080 | 2017-04-20 |
| 1326572173 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 363 Ganttown Road, Turnersville, NJ 08080 | 2017-04-19 |
| Find all providers in zip 08080 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114269602 | Gayle M Dipretoro | Registered Nurse | 11 Millstone Dr, Sewell, NJ 08080-3604 | 2013-03-22 |
| 1104300490 | Heather Clare Brecht | Registered Nurse | 1 Neptune Dr N, Sewell, NJ 08080-2126 | 2018-09-21 |
| 1740712777 | Jessica Kelley | Registered Nurse | 660 Woodbury Glassboro Rd Ste 26, Sewell, NJ 08080-3738 | 2017-03-29 |
| 1144685389 | Lan Santos | Registered Nurse | 239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ 08080-4005 | 2015-12-15 |
| 1609206523 | Stacia Guillen | Registered Nurse | 239 Hurffville Crosskeys Rd, Sewell, NJ 08080-4002 | 2013-11-13 |
| 1780983601 | Shay N. Tomlin | Registered Nurse | 1070 Main St, Sewell, NJ 08080-4554 | 2011-03-17 |
| 1548352875 | Laura Groblewski Leahy | Registered Nurse | 123 Egg Harbor Rd, Suite 703 Tower Commons, Sewell, NJ 08080-9406 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417288 | Ariane Monique Chua Dequina | Registered Nurse | 340 Airis Drive, Newark, NJ 07114 | 2020-11-04 |
| 1689273302 | Jackeline Martinez | Registered Nurse | 29a Beverly St, Carteret, NJ 07008-3174 | 2020-10-23 |
| 1659970853 | Hajime Ichikawa | Registered Nurse | 1202 Hilltop Rd, Mahwah, NJ 07430-2289 | 2020-10-20 |
| 1386242626 | Ebenezer Boahen | Registered Nurse | 16 Marshall St Apt 4h, Irvington, NJ 07111-8604 | 2020-10-09 |
| 1700483989 | Janet Becerra Lopez | Registered Nurse | 555 Main St Apt 8d, Chatham, NJ 07928-2126 | 2020-10-01 |
| 1407463193 | Burget Cort | Registered Nurse | 1663 Andrew St, Union, NJ 07083-4354 | 2020-09-26 |
| 1437765641 | Laurie Bezner | Registered Nurse | 212 W 2nd St, Moorestown, NJ 08057-2328 | 2020-09-22 |
| 1447865316 | Liliana Oscanoa | Registered Nurse | 292 W Broadway, Paterson, NJ 07522-1194 | 2020-09-09 |
| 1750995429 | Catherine Marie Oliver | Registered Nurse | 4 Holly Ct, Pittsgrove, NJ 08318-4605 | 2020-09-01 |
| 1881208452 | Jonas Pierre | Registered Nurse | 167 Harrison Ave Apt 2, Montclair, NJ 07042-2454 | 2020-09-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.