Active NPIIndividual provider

Sandra Revak, FNP

Nurse Practitioner in Sewell, New Jersey

NPI Number1508221870
Practice location
239 Hurffville Crosskeys RD, Suite 160, Sewell, NJ 08080-4002
Fax
856-341-8212
Last updated
January 6, 2025

Sandra Revak is a Nurse Practitioner based in Sewell, NJ. Sandra Revak practices in Sewell, NJ and has the professional credentials of FNP. The NPI Number for Sandra Revak is 1508221870 and holds a License No. 26NJ00629600 (NJ). The current practice location address for Sandra Revak is 239 Hurffville Crosskeys RD, Suite 160, Sewell, NJ 08080-4002 and can be reached out via phone at 856-341-8200 and via fax at 856-341-8212.

Provider Profile Details

NPI Number
1508221870
Provider Name
Sandra Revak
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
239 Hurffville Crosskeys RD, Suite 160, Sewell, NJ 08080-4002
Phone Number
856-341-8200
Fax Number
856-341-8212
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
December 30, 2015
Last Update Date
January 6, 2025
Certification Date
January 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
239 Hurffville Crosskeys RD
Suite 160
Sewell, NJ 08080-4002
City
Sewell
Zip
08080-4002
Phone Number
856-341-8200
Fax Number
856-341-8212
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
239 Hurffville Crosskeys RD Ste 160
Sewell, NJ 08080-4005
City
Sewell
State
NJ
Zip
08080-4005
Phone Number
856-341-8200
Fax Number
856-341-8215

License Information

License Number (1)
26NJ00629600
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner · 363L00000X · Primary
License Number (2)
26NR15492200
License State (2)
NJ
Taxonomy (2)
Registered Nurse · 163W00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sandra Revak, FNP?

The NPI number of Sandra Revak, FNP is 1508221870. It was assigned on December 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Sandra Revak, FNP?

Sandra Revak, FNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NJ under license number 26NJ00629600.

Where does Sandra Revak, FNP practice?

The practice location is 239 Hurffville Crosskeys RD, Suite 160, Sewell, NJ 08080-4002. The office can be reached at 856-341-8200 (phone) or 856-341-8212 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508221870 directly on the NPPES registry website.

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