Individual provider Active NPI

Ravina Chawla

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1083125389
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343744 Issued in NY
Practice address
462 1St Ave
New York, NY 10016-9196
Phone
(212) 562-4141
NPI assigned
Oct 13, 2017
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00901300 NJ
Family Nurse Practitioner 363LF0000X 343744 NY Primary
Registered Nurse 163W00000X 749990 NY
Registered Nurse 163W00000X 26NR18804300 NJ

Addresses

Primary practice location

462 1St Ave
New York, NY 10016-9196

Mailing address

462 1St Ave
New York, NY 10016-9196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181129000117 NY Practitioner - Nurse Practitioner 8527302744 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Urgent Care of Wantagh PLLCGroup PAC ID 9234364027, 40 clinicians
Excel Urgent Care of Nesconset PLLCGroup PAC ID 5092985986, 17 clinicians
Excel Urgent Care of NHP PLLCGroup PAC ID 1658517883, 15 clinicians

Practice addresses (Care Compare)

3430 Sunrise Hwy
Wantagh, NY 11793-4069
Phone (516) 900-1600

465 Smithtown Blvd
Nesconset, NY 11767-2421
Phone (631) 676-6700

900 Hillside Ave
New Hyde Park, NY 11040-2522
Phone (516) 519-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR18804300NJMDRegistered Nurse
749990NYMDRegistered Nurse
26NJ00901300NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care of Wantagh PLLC Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Divinity Medical Services PLLC Single Specialty CurrentSince Jan 1, 2022 Accepting new patients
Excel Urgent Care of Nesconset, PLLC Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Excel Urgent Care of East Northport, PLLC Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Excel Urgent Care of NHP PLLC Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Stony Brook Internists, University Faculty Practice Corporation Single Specialty PastSince Jun 1, 2019 Accepting new patients

Locations

331 Kings Hwy
Brooklyn, NY 11223
Phone (646) 995-9999

558 Larkfield Rd
East Northport, NY 11731
Phone (631) 446-7459

465 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 676-6700

900 Hillside Ave
New Hyde Park, NY 11040
Phone (516) 519-8400

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600

3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rchawla2032794@nychhc.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1083125389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-562-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAWLA",
        "first_name": "RAVINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00901300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343744",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "749990",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR18804300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.