Active NPI
Sharon Levina Revan, M.D.
- Rheumatology Physician
- White Plains, NY
National Provider Identifier
1306956248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 191108
- Practice address
- 3 Barker Ave
4TH Floor
White Plains, NY 10601-1509 - Phone
- (914) 949-1199
- Fax
- (914) 949-1245
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 191108 | NY | Primary |
Addresses
Primary practice location
3 Barker Ave
4TH Floor
White Plains, NY 10601-1509
Mailing address
502 Park Ridge LN
White Plains, NY 10603-3122
Phone (914) 649-9952
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01666962 | Medicaid | NY |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Home Lifecare, Manhattan | Current | Accepting new patients | |
| Jewish Home Lifecare, Manhattan | Current | Accepting new patients | |
| Hospitalist Healthcare Services PLLC | Past | Accepting new patients |
Locations
120 W 106th St
New York, NY 10025
Phone (212) 870-4715
120 W 106th St
Fl 4
New York, NY 10025
Organizations & group practices 3
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- New York, NY
- NPI 1639244742
-
- Long Term Care Pharmacy
- New York, NY
- NPI 1356434781
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1275962011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1306956248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 PARK RIDGE LN",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106033122",
"telephone_number": "914-649-9952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BARKER AVE",
"address_2": "4TH FLOOR",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106011509",
"telephone_number": "914-949-1199",
"fax_number": "914-949-1245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVAN",
"first_name": "SHARON",
"middle_name": "LEVINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NY",
"license": "191108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01666962",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.