Active NPI
Revolve Medical Services PC
- Specialist
- Cedarhurst, NY
National Provider Identifier
1942047865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- REVOLVE MEDICAL SERVICES PC
- Practice address
- 414 Central Ave
Cedarhurst, NY 11516-1907 - Phone
- (347) 344-7466
- NPI assigned
- Jul 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Weiss, MD
- Title
- Owner
- Phone
- (347) 344-7466
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
414 Central Ave
Cedarhurst, NY 11516-1907
Mailing address
414 Central Ave
Cedarhurst, NY 11516-1907
Phone (347) 344-7466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Brooklyn, NY
- NPI 1740661628
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Lynbrook, NY
- NPI 1134570914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776211200000",
"number": "1942047865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 CENTRAL AVE",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115161907",
"telephone_number": "347-344-7466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 CENTRAL AVE",
"city": "CEDARHURST",
"state": "NY",
"postal_code": "115161907",
"telephone_number": "347-344-7466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REVOLVE MEDICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-09",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A",
"authorized_official_last_name": "WEISS",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-344-7466",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedarhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.