Individual provider Active NPI

Reva Miriam Dvorkes, RN BSN

  • Home Health Registered Nurse
  • Lakewood, NJ
National Provider Identifier
1437039419
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
620974 Issued in NY
Practice address
11 Hilton Dr
Lakewood, NJ 08701-5356
Phone
(718) 387-1800
Fax
(718) 513-2620
NPI assigned
Sep 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 620974 NY Primary

Addresses

Primary practice location

11 Hilton Dr
Lakewood, NJ 08701-5356

Mailing address

11 Hilton Dr
Lakewood, NJ 08701-5356
Phone (718) 387-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
620974NYMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1437039419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HILTON DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015356",
            "telephone_number": "718-387-1800",
            "fax_number": "718-513-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HILTON DR",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015356",
            "telephone_number": "718-387-1800",
            "fax_number": "718-513-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DVORKES",
        "first_name": "REVA",
        "middle_name": "MIRIAM",
        "name_prefix": "Mrs.",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "620974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.