Revere Medical Associates, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

REVERE MEDICAL ASSOCIATES, P.C.

Practice address

535 Port Washington Blvd
Port Washington, NY 11050-4227

Phone

(516) 944-9515

NPI assigned

Mar 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William S Knight, M.D.NPI 1245314475

Title

M.D.

Phone

(516) 944-9515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EICFDD
• FHIR API: https://api.platform.athenahealth.com/2017/brand/9/csg/22/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Stiling Knight, M.D.

  • Internal Medicine Physician
  • Port Washington, NY
  • NPI 1245314475
  Medicare reassignment Care Compare group Authorized official
• Emia Chan, M.D.

  • Internal Medicine Physician
  • Port Washington, NY
  • NPI 1902980139
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1548430366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 PORT WASHINGTON BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504227",
            "telephone_number": "516-944-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PORT WASHINGTON BLVD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110504227",
            "telephone_number": "516-944-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERE MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "516-944-9515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Reeve-Domeny, PH.D.
• Remote Therapy LCSW PC
• Resilience Therapy LCSW PLLC
• Ronald Franz Restivo, MSPT
• Steven Michael Restivo, PT
• Scott L Rex, MD
• Jessica Ashley Rich, MSED
• Richard a. Matano, MD, PC
• Joshua Michael Ring, LCSW
• Nomi Rinke, DCSW

• Internal Medicine Physician in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.