Dr. John Randolf S Reveral, DPM
Student in an Organized Health Care Education/Training Program in Passaic, New Jersey
1801738505- Practice location
- 350 Boulevard, Passaic, NJ 07055-2840
- Phone
- 973-365-4662
- Fax
- —
- Last updated
- April 9, 2026
John Randolf Sabater Reveral is a Student in an Organized Health Care Education/Training Program based in Passaic, NJ. John Randolf Sabater Reveral practices in Passaic, NJ and has the professional credentials of DPM. The NPI Number for John Randolf Sabater Reveral is 1801738505 and holds a License No. 390200000X (NJ). The current practice location address for John Randolf Sabater Reveral is 350 Boulevard, Passaic, NJ 07055-2840 and can be reached out via phone at 973-365-4662.
Provider Profile Details
- NPI Number
- 1801738505
- Provider Name
- John Randolf Sabater Reveral
- Credential
- DPM
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 350 Boulevard, Passaic, NJ 07055-2840
- Phone Number
- 973-365-4662
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 9, 2026
- Last Update Date
- April 9, 2026
- Certification Date
- April 4, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 350 Boulevard
Passaic, NJ 07055-2840 - City
- Passaic
- State
- New Jersey
- Zip
- 07055-2840
- Phone Number
- 973-365-4662
Provider Business Mailing Address Details
- Address
- 350 Boulevard
Memorial Building - 324
Passaic, NJ 07055-2840 - City
- Passaic
- State
- NJ
- Zip
- 07055-2840
License Information
- License Number
- 390200000X
- License State
- NJ
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. John Randolf S Reveral, DPM?
The NPI number of Dr. John Randolf S Reveral, DPM is 1801738505. It was assigned on April 9, 2026 and is currently active in the NPPES registry.
What is the specialty of Dr. John Randolf S Reveral, DPM?
Dr. John Randolf S Reveral, DPM is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in NJ under license number 390200000X.
Where does Dr. John Randolf S Reveral, DPM practice?
The practice location is 350 Boulevard, Passaic, NJ 07055-2840. The office can be reached at 973-365-4662 (phone).
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 1801738505 directly on the NPPES registry website.