Tania Revolus, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

279585 Issued in NY

Practice address

2201 Hempstead Turnpike
East Meadow, NY 11554

Phone

(516) 572-6255

NPI assigned

Oct 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

State University of New York Downstate Medical Center, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nassau University Medical Center Hospital, East Meadow, NY, CCN 330027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1902822992
  Medicare reassignment Care Compare group NPD
• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Elmont, NY
  • NPI 1336669670
  Medicare reassignment NPD
• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • North Baldwin, NY
  • NPI 1205704319
  NPD
• Harmony Health Care Long Island

  • Federally Qualified Health Center (FQHC)
  • Roosevelt, NY
  • NPI 1396059499
  NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1730530940
  NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1932125911
  NPD
• Nassau Health Care Corporation

  • General Acute Care Hospital
  • East Meadow, NY
  • NPI 1801857172
  NPD (past)

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1194009340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 HAWKINS AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101815",
            "telephone_number": "516-428-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HEMPSTEAD TURNPIKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "11554",
            "telephone_number": "516-572-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVOLUS",
        "first_name": "TANIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "279585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qingxia Ren
• Renaissance Family Care
• Renaissance Medical Care, P.C.
• Daniela Rendon
• Barbara Resseque, DPM
• Ibrahim Reyaz
• Nafisa Reyaz, MBBS
• Jacob A Reyes
• Ryan Gabriel Reyes, DPT
• Rhona S Susser M D P C

• Obstetrics & Gynecology Physician in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Obstetrics & Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.