VICTORIA ASHLEY REVICH DMD
NPI 1235774084
Dentist in Cinnaminson, NJ

Q: What is Victoria Revich's NPI number?

The NPI number for Victoria Revich is 1235774084. It was assigned to this individual provider in the NPPES registry on November 14, 2019.

Q: What is Victoria Revich's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Victoria Revich enrolled in Medicare?

No. Victoria Revich has opted out of Medicare through June 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Victoria Revich was last updated on October 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 14, 2019Opted out of Medicare · through Jun 16, 2028

1630 RIVERTON RD, CINNAMINSON, NJ 08077(732) 996-9758 Get Directions Write a Review

NPPES record last updated: October 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2021, Nov 14, 2019 (2 updates tracked since 2019).

On this page

About Victoria Ashley Revich Dmd NPPES

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

VICTORIA ASHLEY REVICH DMD (NPI 1235774084) is an individual dentist in Cinnaminson, New Jersey, licensed in New Jersey (22DI02829000) and active in the NPI registry since November 2019. She has opted out of Medicare through June 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1235774084

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameVICTORIA ASHLEY REVICHCredential: DMD

Location Address1630 RIVERTON RDCinnaminson, NJ 08077-2343

Mailing Address1630 Riverton RdCinnaminson, NJ 08077-2343 · (329) 996-9758

Phone(732) 996-9758

Sole ProprietorNo

Enumeration DateNovember 14, 2019

Last NPPES UpdateOctober 2, 20212 updates tracked since enumeration

NPPES CertifiedOctober 2, 2021

✔ NPI 1235774084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NJ · 22DI02829000

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1630 RIVERTON RD, Cinnaminson, NJ 08077

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Victoria Ashley Revich Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 16, 2022 through June 16, 2028.

Opt-Out Effective DateJune 16, 2022

Opt-Out In Effect ThroughJune 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08077 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

LINDSEY ANN NEMSHICK

Dentist (General Practice)

1630 RIVERTON RD
CINNAMINSON, NJ 08077

Burlington County (856) 786-2020

RANDY CHAIZ

Dentist (General Practice)

1630 RIVERTON RD
CINNAMINSON, NJ 08077

Burlington County (856) 786-2020

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 Victoria Revich's NPI number?

The NPI number for Victoria Revich is 1235774084. It was assigned to this individual provider in the NPPES registry on November 14, 2019.

Where is Victoria Revich located?

Victoria Revich practices at 1630 Riverton Rd, Cinnaminson, NJ 08077. The listed phone number is (732) 996-9758.

What is Victoria Revich's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Victoria Revich enrolled in Medicare?

No. Victoria Revich has opted out of Medicare through June 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Victoria Revich accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Victoria Revich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victoria Revich was last updated on October 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.