Active NPI
Revital Faro, M.D.
- Maternal & Fetal Medicine Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 25MA08995800
- Practice address
- 125 Paterson St
Cab Second Floor
New Brunswick, NJ 08901-1962 - Phone
- (732) 235-6632
- NPI assigned
- May 15, 2012
- 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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 25MA08995800 | NJ | Primary |
Addresses
Primary practice location
125 Paterson St
Cab Second Floor
New Brunswick, NJ 08901-1962
Mailing address
125 Paterson St
Cab Second Floor
New Brunswick, NJ 08901-1962
Phone (732) 235-6632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 Grand Concourse
FL 1
Bronx, NY 10457-7606
Phone (718) 992-7669
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronxcare Health System | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Saint Peter's University Hospital | Current | Accepting new patients | |
| Bronxcare Health System | Current | Accepting new patients | |
| Saint Peter's Specialty Physicians, P.C. | Maternal & Fetal Medicine | Current | Accepting new patients |
| Saint Peter's University Hospital | Current | Accepting new patients | |
| Saint Peter's Healthcare System Physician Associates | Current | Accepting new patients |
Locations
500 River Ave
Ste 110
Lakewood, NJ 08701
Phone (732) 339-7360
240 Easton Ave
Fl 3
New Brunswick, NJ 08901
Phone (732) 565-5453
123 How Ln
New Brunswick, NJ 08901
Phone (732) 448-1000
125 Paterson St
Fl Second
New Brunswick, NJ 08901
Phone (732) 235-6632
254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453
1650 Grand Concourse
Fl 1
Bronx, NY 10457
Phone (718) 518-5340
1650 Grand Concourse
Bronx, NY 10457
Phone (718) 294-7104
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1245390855
-
- General Practice Physician
- New Brunswick, NJ
- NPI 1548569361
-
- Gastroenterology Physician
- Lakewood, NJ
- NPI 1861894982
Maternal & Fetal Medicine
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
-
dba Saint Peter's Behavioral Health Group
- Clinical Psychologist
- New Brunswick, NJ
- NPI 1376079590
-
- Obstetrics Physician
- Bronx, NY
- NPI 1538230073
-
- Methadone Clinic
- Bronx, NY
- NPI 1801428222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337040000000",
"number": "1275892812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 PATERSON ST",
"address_2": "CAB SECOND FLOOR",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011962",
"telephone_number": "732-235-6632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PATERSON ST",
"address_2": "CAB SECOND FLOOR",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011962",
"telephone_number": "732-235-6632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARO",
"first_name": "REVITAL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-15",
"last_updated": "2012-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NJ",
"license": "25MA08995800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.