Active NPI
Yohana Revelo-Umana
- Physician Assistant
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 425 Jack Martin Blvd
Brick, NJ 08724-7732 - Phone
- (732) 840-2200
- Fax
- (732) 922-6026
- NPI assigned
- Jun 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
425 Jack Martin Blvd
Brick, NJ 08724-7732
Mailing address
331 Newman Springs Road
BLDG. 2, Suite 220
Red Bank, NJ 07701
Phone (732) 807-0877
Other practice location 1
478 Brick Blvd
Brick, NJ 08723-6077
Phone (732) 701-4848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Surgical & Oncology Associates, P.C | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Atlantic Shore Surgical Associates, PC | Current | Accepting new patients |
Locations
478 Brick Blvd
Brick, NJ 08723
Phone (732) 701-4848
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787
425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba HMHMG Specialty Care
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Surgery Physician
- Brick, NJ
- NPI 1851470124
-
dba HMMG New Jersey Oral & Maxillofacial Surgery
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Surgical Oncology Physician
- Brick, NJ
- NPI 1205034816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1013648765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS ROAD",
"address_2": "BLDG. 2, SUITE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "07701",
"telephone_number": "732-807-0877",
"fax_number": "201-751-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 JACK MARTIN BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247732",
"telephone_number": "732-840-2200",
"fax_number": "732-922-6026"
}
],
"practiceLocations": [
{
"address_1": "478 Brick Blvd",
"address_purpose": "LOCATION",
"city": "Brick",
"state": "NJ",
"postal_code": "087236077",
"country_code": "US",
"telephone_number": "732-701-4848",
"fax_number": "732-701-1469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REVELO-UMANA",
"first_name": "YOHANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.