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EDWARD REVERE
NPI 1023739273
Peer Specialist in Buffalo, NY

Active since September 07, 2022
1021 BROADWAY ST, BUFFALO, NY 14212(716) 662-2040(716) 662-0019 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edward Revere NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD REVERE (NPI 1023739273) is an individual peer specialist in Buffalo, New York, licensed in New York (NYCPS-P4548) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1023739273
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameEDWARD REVERE
Location Address1021 BROADWAY STBuffalo, NY 14212-1460
Mailing Address227 Thorn AveOrchard Park, NY 14127-2600 · (716) 662-2040 · Fax (716) 662-0019
Phone(716) 662-2040
Fax(716) 662-0019
Sole ProprietorNo
Enumeration DateSeptember 7, 2022
NPPES CertifiedSeptember 7, 2022
✔ NPI 1023739273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Licenses✔ Licensed in NY · NYCPS-P4548✔ Licensed in NY · CRPA-5254
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1021 BROADWAY ST, Buffalo, NY 14212
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY L WYANT PA-C
Physician Assistant
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 529-2030
ALEXANDRA ISABELLA YACUB
Nurse Practitioner (Family)
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 529-3020
SHIVANI SHASHI KUMAR NAYAK
Counselor (Mental Health)
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 348-3000
MS. CYNTHIA CATHERINE BRAUER FAMILY PEER ADVOCATE
Peer Specialist
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 886-1242
SHANAZHA C HOBBS
Social Worker
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 529-3020
LALITA LASHON ALEXANDER MSN RN FNP-C
Nurse Practitioner (Family)
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 529-3020
JULIANNA HILL
Peer Specialist
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 886-1242
CRYSTAL DEVLIN FNP
Nurse Practitioner (Family)
1021 BROADWAY ST
BUFFALO, NY 14212
Erie County (716) 529-3020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Revere's NPI number?

The NPI number for Edward Revere is 1023739273. It was assigned to this individual provider in the NPPES registry on September 7, 2022.

Where is Edward Revere located?

Edward Revere practices at 1021 Broadway St, Buffalo, NY 14212. The listed phone number is (716) 662-2040.

What is Edward Revere's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Edward Revere was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.