JUAN RAVELL


Address: 360 Essex St Ste 302, Hackensack, NJ 07601-8566
Phone: 5519962065

JUAN RAVELL (NPI# 1629301817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629301817
Entity Type Individual
Full Name JUAN RAVELL
Credential M.D.
Practice Address 360 Essex St Ste 302
Hackensack
NJ 07601-8566
Mailing Address 10 Center Drive
Bg 10 Rm 12c103
Bethesda
MD 20814
Practice Telephone 5519962065
Enumeration Date 2009-09-07
Last Update Date 2020-06-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
25MA10848800 NJ Allopathic & Osteopathic Physicians
N 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
D73924 MD Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
10 Center Drive, Bg 10 Rm 12c103, Bethesda, MD 20814 3012634493

Office Location

Street Address 360 ESSEX ST STE 302
City HACKENSACK
State NJ
Zip Code 07601-8566

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Taxonomy Information

Taxonomy Code 207RA0201X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Allergy & Immunology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629601620 Joo Solution LLC Internal Medicine 158 Linwood Plz Ste 319, Fort Lee, NJ 07024-3798 2020-02-18
1194376236 Allergy Asthma and Sinus Institute Internal Medicine 2059 Briggs Rd Ste 306, Mount Laurel, NJ 08054-4640 2019-09-20
1013283233 Peter Anthony Ricketti Internal Medicine 1544 Kuser Rd Ste C6, Trenton, NJ 08619-3830 2012-04-02
1366734972 Robert Ira Abels I Internal Medicine 422 Linden Ave, Westfield, NJ 07090-1926 2011-05-15
1376757112 June Flory Winkler Internal Medicine 202 Paterson Avenue, Hasbrouck Heights, NJ 07604-2114 2007-05-10
1588073159 Christine Ann Muglia-chopra Internal Medicine 6 Sand Hill Rd Ste 302, Flemington, NJ 08822-4946 2014-08-08
1831492644 Allergy & Clinical Immunology Center Internal Medicine 230 N Maple Ave, Marlton, NJ 08053-9400 2010-12-16
1518166883 Steven Edward Schutzer Internal Medicine 185 S Orange Ave, Umdnj-msb E543, Newark, NJ 07103-2757 2007-07-16
1013074988 Jay Richard Blum Internal Medicine 85 Raritan Ave, Highland Park, NJ 08904-2439 2007-01-02
1679655781 Rutgers Health-rwj Allergy Faculty Internal Medicine 125 Paterson St, Suite 5100, New Brunswick, NJ 08901-1962 2006-10-19
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Competitor

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City HACKENSACK
Zip Code 07601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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