Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JENNIFER ALICEA REVOREDO, PA
ActiveMS. JENNIFER ALICEA REVOREDO, PA is a Medical Physician Assistant healthcare provider located in SOUTH ORANGE, New Jersey. NPI 1801239363 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SOUTH ORANGE, NJ
Registration Details
- NPI Number
- 1801239363
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2013 (13.297913287605 yrs)
- Last Updated
- Mar 7, 2017
- License
-
25MP00304400 (NJ)
Practice Information
- Address
-
20 VALLEY ST STE 320SOUTH ORANGE, NJ, 070792881Browse NJ providers · Browse ZIP 07079
- Phone
- 9733131113
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SOUTH ORANGE, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. EMMANUEL GONZALEZ | PA | 1386480481 |
| MOHAMED ABOELENIN | PA-C | 1689412512 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.