DR. JEFFREY ARTHUR REVELLO (NPI# 1619053691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619053691 |
Entity Type | Individual |
Full Name | DR. JEFFREY ARTHUR REVELLO |
Credential | D.P.M. |
Practice Address |
1712 Hessian Drive Williamstown NJ 08094 |
Practice Telephone | 8568636927 |
Practice Fax Number | 8568636927 |
Mailing Telephone | 8568636927 |
Mailing Fax Number | 8568636927 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
MD002355 | NJ | Podiatric Medicine & Surgery Service Providers |
Street Address |
1712 HESSIAN DRIVE |
City | WILLIAMSTOWN |
State | NJ |
Zip Code | 08094 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598307068 | A Helping Hand Services Inc. | Psychologist | 208 Brandywine Dr., Williamstown, NJ 08094 | 2019-10-16 |
1558843920 | Ngozi Oluchi Amugo | Nurse Practitioner | 1005 Cezanne Ct, Williamstown, NJ 08094 | 2018-09-03 |
1962913111 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1767 Forest Drive, Williamstown, NJ 08094 | 2017-10-16 |
1841701091 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1848 Herbert Boulevard, Williamstown, NJ 08094 | 2017-10-16 |
1659747350 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community/Behavioral Health | 1040 North Tuckahoe Road, Tuckahoe House, Williamstown, NJ 08094 | 2015-08-17 |
1891161774 | Assoc. for Retarded Citizens. Inc. Gloucester County | Respite Care | 1036 North Tuckahoe Road, Camp Sun N' Fun, Williamstown, NJ 08094 | 2015-08-14 |
1972989184 | Ismile Dental Arts, PC | Clinic/Center | 368 Berlin Cross Keys Rd, Williamstown, NJ 08094 | 2015-08-11 |
1437534542 | Walgreens | Pharmacy | 13 North Black Horse Pike, Williamstown, NJ 08094 | 2015-07-30 |
1144625468 | Lauren Degrazia | Behavioral Analyst | 1880 Glassboro Rd., Williamstown, NJ 08094 | 2014-10-29 |
1558601765 | Monroe Township Public School District | Local Education Agency (LEA) | 75 E. Academy Street, Williamstown, NJ 08094 | 2013-02-25 |
Find all providers in zip 08094 |
Taxonomy Code | 213ES0131X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184782690 | Foot Specialists of Greater Cincinnati | Podiatrist | 238 Barnes Road, St Elizabeth Grant County, Williamstown, KY 41097 | 2006-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962985770 | Proactive Foot and Ankle | Podiatrist | 466 Old Hook Rd Ste 24d, Emerson, NJ 07630-1368 | 2018-09-09 |
1902356215 | Virtua Medical Group, Pa | Podiatrist | 1001 Route 73 N Uppr Level Back, Marlton, NJ 08053-4524 | 2016-10-11 |
1578013884 | Virtua Medical Group, Pa | Podiatrist | 239 Hurffville Crosskeys Rd Ste 370b, Sewell, NJ 08080-4002 | 2016-10-11 |
1346695335 | Raphael Yeung | Podiatrist | 252 Bridge St Bldg G2nd, Metuchen, NJ 08840-2294 | 2016-04-27 |
1770913493 | New Jersey Podiatric Physicians and Surgeons Group,llc | Podiatrist | 32 Jorgenson Ln, Fairfield, NJ 07004-1216 | 2013-11-15 |
1215205992 | Port Richmond Family Footcare, PC | Podiatrist | 1561 Route 38 Ste 4, Lumberton, NJ 08048-2939 | 2011-12-08 |
1033400593 | Nj Foot Docs PC | Podiatrist | 148 Route 31, 2nd Floor, Flemington, NJ 08822-4967 | 2011-05-02 |
1932413606 | Home Foot Care Services LLC | Podiatrist | 40 Stirling Rd Ste 207, Watchung, NJ 07069-5900 | 2010-08-04 |
1538480678 | Dr. David Plotkin P.a. | Podiatrist | 619 Morris Avenue, Springfield, NJ 07081-1511 | 2010-06-11 |
1114241387 | Kopylenko Dpm PC | Podiatrist | 4 Bridge Plaza Dr Ste 6, Manalapan, NJ 07726 | 2010-03-17 |
Find all providers with the same taxonomy |
City | WILLIAMSTOWN |
Zip Code | 08094 |
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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.