Active NPI
Michele L Revoir, CRNA
- Certified Registered Nurse Anesthetist
- Egg Harbor Township, NJ
National Provider Identifier
1447235775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NO06002000
- Practice address
- 3205 Fire Rd
Egg Harbor Township, NJ 08234-5884 - Phone
- (609) 407-1113
- NPI assigned
- Dec 9, 2005
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NO06002000 | NJ | Primary |
Addresses
Primary practice location
3205 Fire Rd
Egg Harbor Township, NJ 08234-5884
Mailing address
PO Box 48245
Newark, NJ 07101-4800
Phone (201) 804-2800
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Physician Offices, PA | Past | Accepting new patients | |
| Preferred Anesthesia Associates, PC | Past | Accepting new patients | |
| Advanced Anesthesia Associates, PC | Past | Accepting new patients | |
| Professional Pain Management Assoc | Past | Accepting new patients | |
| Jersey Shore Anesthesiology Associates PA | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
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- Internal Medicine Physician
- Camden, NJ
- NPI 1154369510
-
- Anesthesiology Physician
- Neptune, NJ
- NPI 1538190764
-
- Anesthesiology Physician
- Egg Harbor Township, NJ
- NPI 1245233048
-
- Pain Medicine Physician
- Williamstown, NJ
- NPI 1508932245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447235775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 48245",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071014800",
"telephone_number": "201-804-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 FIRE RD",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082345884",
"telephone_number": "609-407-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVOIR",
"first_name": "MICHELE",
"middle_name": "L",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NO06002000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.