Rafael Revol Nunez, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD019210E Issued in PA

Practice address

1600 W Girard Avenue
Philadelphia, PA 19130

Phone

(215) 787-9000

Fax

(215) 787-2115

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sacks & Striar PC

  dba Neurological Associates

  • Neurology Physician
  • Plymouth Meeting, PA
  • NPI 1164523726
  NPD (past)
• Landmark Cardiovascular Diagnostics

  • Internal Medicine Physician
  • Cherry Hill, NJ
  • NPI 1942439609
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700879996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224212",
            "telephone_number": "215-787-2000",
            "fax_number": "215-787-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W GIRARD AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19130",
            "telephone_number": "215-787-9000",
            "fax_number": "215-787-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVOL NUNEZ",
        "first_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD019210E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revere Dental PC (Revere Dental)
• Karen Elizabeth Revere, M.D.
• Revision Home Care Services LLC
• Revive Health PT LLC
• Revive Therapy Services
• Revolution PS, P.C. (Ehrlich Plastic Surgery)
• Revolutionary Mental Health Inc
• Bonita Rex
• Cecelia Rex, LMT
• Patricia Rexer, CRNP

• Neurology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Neurology Physician in Pennsylvania

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.