Sandra Revak (NPI# 1508221870, PAC ID# 0749572840) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1508221870 |
| PAC ID by PECOS | 0749572840 |
| Professional Enrollment ID | I20160711001682 |
| Full Name | Sandra Revak |
| Organization Legal Name | VIRTUA MEDICAL GROUP, PA |
| Address |
401 Young Ave Moorestown NJ 08057-3130 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9830222397 |
| Number of Group Practice Members | 539 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3242 Route 206, Bldg A, Bordentown, NJ 08505-4517 | 6092984340 | VIRTUA MEDICAL GROUP, PA |
| 602 W Cuthbert Blvd, Unit 26, Haddon Township, NJ 08108-3642 | 8569465180 | VIRTUA MEDICAL GROUP, PA |
| 401 Young Ave, Moorestown, NJ 08057-3130 | VIRTUA MEDICAL GROUP, PA | |
| 239 Hurffville Crosskeys Rd, Suite 365a, Sewell, NJ 08080-4002 | 8563418250 | VIRTUA MEDICAL GROUP, PA |
| Organization Legal Name | VIRTUA MEDICAL GROUP, PA |
| Physicians | 519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Simenhoff | Family Medicine | Virtua Medical Group, Pa | 2225 E Evesham Rd, Suite 101a, Voorhees, NJ 08043-1557 |
| Rashida Mengi | Family Medicine | Virtua Medical Group, Pa | 555 High St, Suite 16a, Mount Holly, NJ 08060-1084 |
| Cheryl Walters | Clinical Social Worker | Virtua Medical Group, Pa | 315 Route 70 E, Vitua Express Urgent Care Cherry Hill, Cherry Hill, NJ 08034-2408 |
| Nyssa Entrekin | Registered Dietitian Or Nutrition Professional | Virtua Medical Group, Pa | 2309 Evesham Rd, Virtua Cardiology Group Suite 201 202, Voorhees, NJ 08043-1559 |
| Jessica Denise Moore | Registered Dietitian Or Nutrition Professional | Virtua Medical Group, Pa | 401 Young Ave, Suite 180, Moorestown, NJ 08057-3139 |
| Eric Requa | Family Medicine | Virtua Medical Group, Pa | 158 Route 73, Suite B, Voorhees, NJ 08043-9539 |
| Rachel Kramer | Obstetrics/gynecology | Virtua Medical Group, Pa | 3242 Route 206, Bldg A, Bordentown, NJ 08505-4517 |
| Alexis Malloy | Nurse Practitioner | Virtua Medical Group, Pa | 1613 Rte, 38 Virtua Fam Med Mt Holly, Lumberton, NJ 08048-2921 |
| Kathryn Farrell | Nurse Practitioner | Virtua Medical Group, Pa | 239 Hurffville-crosskeys Rd, 160 Virtua Express Immed Care, Sewell, NJ 08080-4005 |
| Rina Zuniga | Internal Medicine | Virtua Medical Group, Pa | 141 Route 70 E, Suite E, Marlton, NJ 08053-1855 |
| Street Address |
401 YOUNG AVE |
| City | MOORESTOWN |
| State | NJ |
| Zip | 08057-3130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Denise Moore | Registered Dietitian Or Nutrition Professional | Virtua Medical Group, Pa | 401 Young Ave, Suite 180, Moorestown, NJ 08057-3139 |
| Jill A Marple | Physical Medicine and Rehabilitation | Reconstructive Orthopedics, Pa | 401 Young Ave, Suite 245, Moorestown, NJ 08057-3129 |
| Joseph Michael Dwyer | Hand Surgery | Reconstructive Orthopedics, Pa | 401 Young Ave, Suite 245, Moorestown, NJ 08057-3129 |
| William Richard Smith | Orthopedic Surgery | Reconstructive Orthopedics, Pa | 401 Young Ave, Suite 245, Moorestown, NJ 08057-3129 |
| James A Sanfilippo Jr. | Orthopedic Surgery | Reconstructive Orthopedics, Pa | 401 Young Ave, Suite 245, Moorestown, NJ 08057-3129 |
| Melissa F Souza | Nurse Practitioner | Virtua Medical Group, Pa | 401 Young Ave, Moorestown, NJ 08057-3130 |
| Sara Brodowski | Nurse Practitioner | Virtua Medical Group, Pa | 401 Young Ave, Suite 275a, Moorestown, NJ 08057-3130 |
| Ghadeer Alami | Podiatry | Reconstructive Orthopedics, Pa | 401 Young Ave, Suite 245, Moorestown, NJ 08057-3129 |
| John Michael Gray | Orthopedic Surgery | Reconstructive Orthopedics, Pa | 401 Young Ave, Suite 245, Moorestown, NJ 08057-3129 |
| Jamie L Dennis | Physician Assistant | Virtua Medical Group, Pa | 401 Young Ave, Moorestown, NJ 08057-3130 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman P Delaney | Chiropractic | 1273 N Church St, Suite 100, Moorestown, NJ 08057-1115 | |
| Mariame Barry | Psychiatry | Princeton House Provider Group LLC | 351 New Albany Rd, Moorestown, NJ 08057-1117 |
| Andrew Lotocki | Physical Therapy | Strive Physical Therapy and Sports Rehabilitation LLC | 605 Glen Ave, Moorestown, NJ 08057-1125 |
| John Legere | Chiropractic | 605 Glen Ave, Moorestown, NJ 08057-1125 | |
| Cynthia Coyne | Physical Therapy | Strive Physical Therapy and Sports Rehabilitation LLC | 605 Glen Ave, Moorestown, NJ 08057-1125 |
| Amanda Steward | Physical Therapy | Strive Physical Therapy and Sports Rehabilitation LLC | 605 Glen Ave, Moorestown, NJ 08057-1125 |
| Arielle Coopersmith | Physical Therapy | Strive Physical Therapy and Sports Rehabilitation LLC | 605 Glen Ave, Moorestown, NJ 08057-1125 |
| Thomas Bertini | Physical Therapy | Strive Physical Therapy and Sports Rehabilitation LLC | 605 Glen Ave, Moorestown, NJ 08057-1125 |
| Dean Hutchinson | Physical Therapy | Strive Physical Therapy and Sports Rehabilitation LLC | 605 Glen Ave, Moorestown, NJ 08057-1125 |
| Ernesto Mendez | Physical Therapy | Strive Physical Therapy and Sports Rehabilitation LLC | 605 Glen Ave, Moorestown, NJ 08057-1125 |
| Find all physicians in zip 08057 | |||
| City | MOORESTOWN |
| Zip Code | 08057 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MOORESTOWN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sandra Revak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.