Revv Medical Diagnostic PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

REVV MEDICAL DIAGNOSTIC PC

Practice address

201 Portion Rd
Suite B
Ronkonkoma, NY 11779-4172

Phone

(516) 872-7001

Fax

(516) 872-7015

NPI assigned

Feb 5, 2010

Last updated

Feb 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lee S Marcus, MD

Title

Owner

Phone

(516) 872-7001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1255663910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PORTION RD",
            "address_2": "SUITE B",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794172",
            "telephone_number": "516-872-7001",
            "fax_number": "516-872-7015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PORTION RD",
            "address_2": "SUITE B",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794172",
            "telephone_number": "516-872-7001",
            "fax_number": "516-872-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVV MEDICAL DIAGNOSTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-872-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanca Esmeralda Reilly, M.S. SLP
• Barrie J Renieris
• Danielle Repalone
• Jessica Resmini
• Rest Assured Home Care Inc
• Darian Reyes, RN
• Jarred Rhatigan, LPN
• Rachel Riall
• Danielle Rich
• Michelle Heather Rimland, LMSW

• Specialist in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.