Jose Guillermo Revelo Paiz, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA11186800 Issued in NJ

Practice address

650 Rancocas Rd
Westampton, NJ 08060-5613

Phone

(800) 603-6767

NPI assigned

Jun 29, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uhs of Hampton IncGroup PAC ID 7911992912, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Uhs of Hampton, Inc

  • Psychiatry Physician
  • Westampton, NJ
  • NPI 1285822858
  Medicare reassignment Care Compare group NPD
• Uhs of Hampton Inc

  • Family Medicine Physician
  • Westampton, NJ
  • NPI 1851843049
  NPD
• Uhs of Hampton Inc

  • Psychiatric Hospital
  • Westampton, NJ
  • NPI 1457324196
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1073877411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 RANCOCAS RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605613",
            "telephone_number": "800-603-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 RANCOCAS RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605613",
            "telephone_number": "800-603-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELO PAIZ",
        "first_name": "JOSE GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-29",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 125065",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11186800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julio Rene
• Sarah Rene
• Lorraine Rette
• Dey-Lynn Reuther
• Kacie Reuther
• Zakoyia Reves
• Anthony Reyes Rodriguez
• Gabrielle Reyes
• Donna Reynolds-McCrea
• Allene Garnell Reynolds

• Internal Medicine Physician in Westampton, NJ
• Providers in Westampton, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.