DR. PAOLA REVECO (NPI# 1700249547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700249547 |
| Entity Type | Individual |
| Full Name | DR. PAOLA REVECO |
| Credential | DO |
| Practice Address |
1 Diamond Hill Rd Berkeley Heights NJ 07922-2104 |
| Mailing Address |
5645 Main St Flushing NY 11355-5045 |
| Practice Telephone | 9082734300 |
| Mailing Telephone | 2019880685 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2020-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
299096 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1 DIAMOND HILL RD |
| City | BERKELEY HEIGHTS |
| State | NJ |
| Zip Code | 07922-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336004 | Deborah Cheung | Internal Medicine | 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922-2104 | 2005-06-17 |
| 1841898160 | Kelly Anne Gugger | Speech-Language Pathologist | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2020-10-09 |
| 1811501976 | Thomas Gerald Corbo | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2020-09-04 |
| 1386288678 | Nadia Z Jamil | Nurse Practitioner | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-10-30 |
| 1225687494 | Loren Leigh Ball | Nurse Practitioner | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-09-10 |
| 1790347151 | Samantha Joy Bernstein | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-07-05 |
| 1356903348 | Summit Medical Group Pa | Clinic/Center | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-07-01 |
| 1811558026 | Robert Antunes Vagueiro | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-06-27 |
| 1194287490 | Stephanie Pierre-pierre | Physician Assistant | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-04-04 |
| 1497215313 | Sakirat Oladiran | Nurse Practitioner | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2019-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962920579 | Dylan Nessenson | Specialist/Technologist | 44 Branko Road, Berkeley Heights, NJ 07922 | 2017-09-04 |
| 1750807574 | Elite Care Physical Therapy PC | Physical Therapist | 10 Summit Ave Ste 6, Berkeley Heights, NJ 07922 | 2017-08-15 |
| 1124424619 | All Dental Arts PC | Dentist | 559 Plainfield Avenue, Berkeley Heights, NJ 07922 | 2014-11-10 |
| 1972871598 | Shivaji Gajanan Phadke | Pharmacist | 40 Holly Glen Lane North, Berkeley Heights, NJ 07922 | 2011-12-09 |
| 1265745111 | Jain Joseph | Surgery | 1 Diamond Hill Rd Fl 1, Berkeley Heights, NJ 07922 | 2010-07-21 |
| 1194983411 | Henry Peter Schwerner | Pediatrics | 115 Wentworth Drive, Berkeley Heights, NJ 07922 | 2008-05-23 |
| 1215158076 | Mark Durante | Dentist | 261 Springfield Avenue, Suite 203, Berkeley Heights, NJ 07922 | 2007-05-01 |
| 1306989785 | Gayle M Coakley | Marriage & Family Therapist | 230 Sherman Ave Ste 10, Berkeley Heights, NJ 07922 | 2007-02-15 |
| 1275670507 | Patrick Rafferty Smith | Chiropractor | 134 Snyder Avenue, Berkeley Heights, NJ 07922 | 2007-01-30 |
| 1447315015 | Barbara Schoenberg | Social Worker | 310 Springfield Ave, Suite 165, Berkeley Heights, NJ 07922 | 2006-12-26 |
| Find all providers in zip 07922 | ||||
| Taxonomy Code | 207QH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Hospice and Palliative Medicine |
| A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003058074 | Lama El Zein | Family Medicine | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2009-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265999759 | Kelly Jo Gramm | Family Medicine | Samaritan Healthcare and Hospice, 5 Eves Dr Ste 300, Marlton, NJ 08053-0805 | 2019-02-21 |
| 1043857436 | Prospero Medical Services New Jersey PC | Family Medicine | 1 Gateway Ctr Ste 2600, Newark, NJ 07102-5323 | 2019-12-04 |
| 1154986628 | St. Luke's Warren Physician Group, PC | Family Medicine | 185 Roseberry St, Pallative Care, Phillipsburg, NJ 08865 | 2019-05-09 |
| 1730653213 | Life Choice Hospice of New Jersey, LLC | Family Medicine | 4390 Route 130 Ste A, Willingboro, NJ 08046-1065 | 2019-01-17 |
| 1952805806 | Vitas Health Services of New Jersey, P.a. | Family Medicine | 521 Fellowship Rd, Mount Laurel, NJ 08054-3413 | 2018-03-23 |
| 1083141782 | Seasons Medical Group of New Jersey, PC | Family Medicine | 2445 Kuser Rd, Ste 100, Hamilton, NJ 08690-3300 | 2017-05-12 |
| 1346611415 | Hunterdon Specialty Care PC | Family Medicine | 2100 Wescott Dr, Flemington, NJ 08822-4603 | 2015-10-14 |
| 1083994032 | Pathways To Compassion, LLC | Family Medicine | 600 Highland Dr, Ste 624, Westampton, NJ 08060-5120 | 2011-08-23 |
| 1659523074 | Hunterdon Medical Center | Family Medicine | 2100 Wescott Dr, Fourth Floor, Flemington, NJ 08822-4603 | 2008-10-16 |
| 1619125911 | Pathways To Compassion, LLC | Family Medicine | 261 Connecticut Dr, Suite 1, Burlington, NJ 08016-4177 | 2008-08-29 |
| Find all providers with the same taxonomy | ||||
| City | BERKELEY HEIGHTS |
| Zip Code | 07922 |
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| 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.