Kyriaki Revenidis
ADVANCED SPINE AND PAIN LLC


Address: 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Phone: 8567871900

Kyriaki Revenidis (NPI# 1306158738, PAC ID# 6709073356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1306158738
PAC ID by PECOS 6709073356
Professional Enrollment ID I20101208000275
Full Name Kyriaki Revenidis
Organization Legal Name ADVANCED SPINE AND PAIN LLC
Address 3829 Church Rd
B
Mount Laurel
NJ 08054-1105
Phone Number 8567871900
Gender F
Graduation Year 2009
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 0648358234
Number of Group Practice Members 32
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310041 COMMUNITY MEDICAL CENTER

Other Locations

Address Phone Organization
3829 Church Rd, B, Mount Laurel, NJ 08054-1105 8567871900 ADVANCED SPINE AND PAIN LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 100%
ACI_EC_TRANS_PEA_1 Provide Patient Access 100%
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 25%
ACI_EC_TRANS_SM_1 Secure Messaging 0%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 83%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 80%
MIPS_EC_131_overall Pain Assessment and Follow-Up 99%
MIPS_EC_134_overall Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan 91%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100%

Organization Information

Organization Legal Name ADVANCED SPINE AND PAIN LLC
Physicians 34

Physicians with the same organization

Name Specialty Organization Address
Adrienne Lauren Rinaldi Physician Assistant Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Amy Marie Fletcher Nurse Practitioner Advanced Spine and Pain LLC 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907
Teresa L Cassidy Nurse Practitioner Advanced Spine and Pain LLC 700 E Township Line Rd, Fl 1, Havertown, PA 19083-5733
Chioma A Ezeadichie Physical Medicine and Rehabilitation Advanced Spine and Pain LLC 2 8th St, Hammonton, NJ 08037-3347
Ashley M Roncone Physician Assistant Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Victoria Schenk Newbold Nurse Practitioner Advanced Spine and Pain LLC 2 8th St, Hammonton, NJ 08037-3347
Addison Haskins Nurse Practitioner Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Russell Abrams Neurology Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Peter G Pryzbylkowski Pain Management Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Ijeoma C Menkiti Nurse Practitioner Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105

Office Location

Street Address 3829 CHURCH RD
B
City MOUNT LAUREL
State NJ
Zip 08054-1105

Physicians in the same location

Name Specialty Organization Address
Adrienne Lauren Rinaldi Physician Assistant Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Ashley M Roncone Physician Assistant Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Addison Haskins Nurse Practitioner Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Russell Abrams Neurology Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Peter G Pryzbylkowski Pain Management Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Ijeoma C Menkiti Nurse Practitioner Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Yohan Lee Chiropractic 3829 Church Rd, Suite B, Mount Laurel, NJ 08054-1105
William Mitchell Neurosurgery 3829 Church Rd, Suite A, Mount Laurel, NJ 08054-1105
Eileen R Manabat Pain Management Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Young J Lee Interventional Pain Management Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Mark A Testaiuti Neurosurgery Coastal Spine PC 715 Fellowship Rd, Suite A, Mount Laurel, NJ 08054-1052
Rosalie Marinari Dermatology Dermatology Associates of South Jersey, L.L.C. 715 Fellowship Rd, Suite B, Mount Laurel, NJ 08054-1052
John R Mcgowan Psychologist, Clinical 3829 Church Rd, Mount Laurel, NJ 08054-1105
Etya Schecter Physician Assistant Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Daniel J Ragone Jr. Physical Medicine and Rehabilitation 3829 Church Rd, Mount Laurel, NJ 08054-1105
Michelle Fiolkowski Physician Assistant Advanced Spine and Pain LLC 3829 Church Rd, B, Mount Laurel, NJ 08054-1105
Michael R Plumeri Psychologist, Clinical 3804 Church Rd, Mount Laurel, NJ 08054-1106
Edmund J Decker Family Medicine Cooper Family Medicine PC 3820 Church Rd, Mt Laurel, NJ 08054-1106
Craig W Pearl Psychologist, Clinical Craig W. Pearl, Psy.d., P.C. 3804 Church Rd, Mount Laurel, NJ 08054-1106
Benjamin S Alterman Psychologist, Clinical 3804 Church Rd, Mount Laurel, NJ 08054-1106
Find all physicians in zip 08054

Competitor

Search similar physicians

City MOUNT LAUREL
Zip Code 08054
Specialty NURSE PRACTITIONER
City + Specialty MOUNT LAUREL + NURSE PRACTITIONER

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Dataset Information

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.

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