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MRS. GINA REVZIN P.A,
NPI 1346570322
Physician Assistant - Medical in Massapequa, NY

Active since January 13, 2010PECOS EnrolledAccepts Medicare Assignment
627 BROADWAY STE 1, MASSAPEQUA, NY 11758(516) 541-4171(516) 377-5712 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Gina Revzin P.a, NPPES

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

MRS. GINA REVZIN P.A, (NPI 1346570322) is an individual medical provider in Massapequa, New York, licensed in New York (009155) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1346570322
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. GINA REVZINCredential: P.A,
Location Address627 BROADWAY STE 1Massapequa, NY 11758-5031
Mailing Address660 White Plains RdTarrytown, NY 10591-5139 · (914) 333-5801
Phone(516) 541-4171
Fax(516) 377-5712
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 13, 2010
Last NPPES UpdateJune 22, 2022
NPPES CertifiedJune 22, 2022
✔ NPI 1346570322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 009155
627 BROADWAY STE 1, Massapequa, NY 11758
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Gina Revzin P.a, is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901871938
PECOS Enrollment IDI20040901000615
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Gina Revzin's NPI number?

The NPI number for Gina Revzin is 1346570322. It was assigned to this individual provider in the NPPES registry on January 13, 2010.

Where is Gina Revzin located?

Gina Revzin practices at 627 Broadway Ste 1, Massapequa, NY 11758. The listed phone number is (516) 541-4171.

What is Gina Revzin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Gina Revzin enrolled in Medicare?

Yes. Gina Revzin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gina Revzin was last updated on June 22, 2022. 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.