Kyriaki Revenidis (NPI# 1306158738, PAC ID# 6709073356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1306158738 |
| PAC ID by PECOS | 6709073356 |
| Professional Enrollment ID | I20101208000275 |
| Full Name | Kyriaki Revenidis |
| Organization Legal Name | ADVANCED SPINE AND PAIN LLC |
| Address |
3829 Church Rd B Mount Laurel NJ 08054-1105 |
| Phone Number | 8567871900 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648358234 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310041 | COMMUNITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 | 8567871900 | ADVANCED SPINE AND PAIN LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 25% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 83% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 80% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 99% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 91% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | ADVANCED SPINE AND PAIN LLC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrienne Lauren Rinaldi | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Amy Marie Fletcher | Nurse Practitioner | Advanced Spine and Pain LLC | 1030 Kings N Hwy 200, Cherry Hill, NJ 08034-1907 |
| Teresa L Cassidy | Nurse Practitioner | Advanced Spine and Pain LLC | 700 E Township Line Rd, Fl 1, Havertown, PA 19083-5733 |
| Chioma A Ezeadichie | Physical Medicine and Rehabilitation | Advanced Spine and Pain LLC | 2 8th St, Hammonton, NJ 08037-3347 |
| Ashley M Roncone | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Victoria Schenk Newbold | Nurse Practitioner | Advanced Spine and Pain LLC | 2 8th St, Hammonton, NJ 08037-3347 |
| Addison Haskins | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Russell Abrams | Neurology | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Peter G Pryzbylkowski | Pain Management | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ijeoma C Menkiti | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Street Address |
3829 CHURCH RD B |
| City | MOUNT LAUREL |
| State | NJ |
| Zip | 08054-1105 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrienne Lauren Rinaldi | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ashley M Roncone | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Addison Haskins | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Russell Abrams | Neurology | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Peter G Pryzbylkowski | Pain Management | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ijeoma C Menkiti | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Yohan Lee | Chiropractic | 3829 Church Rd, Suite B, Mount Laurel, NJ 08054-1105 | |
| William Mitchell | Neurosurgery | 3829 Church Rd, Suite A, Mount Laurel, NJ 08054-1105 | |
| Eileen R Manabat | Pain Management | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Young J Lee | Interventional Pain Management | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Testaiuti | Neurosurgery | Coastal Spine PC | 715 Fellowship Rd, Suite A, Mount Laurel, NJ 08054-1052 |
| Rosalie Marinari | Dermatology | Dermatology Associates of South Jersey, L.L.C. | 715 Fellowship Rd, Suite B, Mount Laurel, NJ 08054-1052 |
| John R Mcgowan | Psychologist, Clinical | 3829 Church Rd, Mount Laurel, NJ 08054-1105 | |
| Etya Schecter | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Daniel J Ragone Jr. | Physical Medicine and Rehabilitation | 3829 Church Rd, Mount Laurel, NJ 08054-1105 | |
| Michelle Fiolkowski | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Michael R Plumeri | Psychologist, Clinical | 3804 Church Rd, Mount Laurel, NJ 08054-1106 | |
| Edmund J Decker | Family Medicine | Cooper Family Medicine PC | 3820 Church Rd, Mt Laurel, NJ 08054-1106 |
| Craig W Pearl | Psychologist, Clinical | Craig W. Pearl, Psy.d., P.C. | 3804 Church Rd, Mount Laurel, NJ 08054-1106 |
| Benjamin S Alterman | Psychologist, Clinical | 3804 Church Rd, Mount Laurel, NJ 08054-1106 | |
| Find all physicians in zip 08054 | |||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MOUNT LAUREL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kyriaki Revenidis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.