Individual provider Active NPI

Emma Nicole Revelant, DNP, CNM, BSN, RN

  • Midwife
  • Brooklyn, NY
National Provider Identifier
1629720222
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
F002439 Issued in NY
Practice address
333 Roebling St
Brooklyn, NY 11211-6204
Phone
(844) 692-4692
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 821414 NY
Midwife 176B00000X F002439 NY Primary

Addresses

Primary practice location

333 Roebling St
Brooklyn, NY 11211-6204

Mailing address

225 E 36TH St Apt 5O
New York, NY 10016-3613
Phone (516) 469-9670

Other practice location 1

2094 Pitkin Ave
Brooklyn, NY 11207-3509
Phone (844) 692-4692

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260326002492 NY Practitioner - Certified Nurse Midwife (CNM) 6901381086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

227 Madison St
New York, NY 10002-7537

227 Madison St
New York, NY 10002-7587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Certified Nurse Midwife, Registered Nurse

State licenses

LicenseStateTypeSpecialty
821414NYMDRegistered Nurse
F002439NYMDMidwife

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1629720222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E 36TH ST APT 5O",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163613",
            "telephone_number": "516-469-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ROEBLING ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116204",
            "telephone_number": "844-692-4692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2094 Pitkin Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112073509",
            "country_code": "US",
            "telephone_number": "844-692-4692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REVELANT",
        "first_name": "EMMA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DNP, CNM, BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "821414",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NY",
            "license": "F002439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.