DR. REVITAL CARONIA D.O.
NPI 1588858724
Pediatrics in Brooklyn, NY

Q: What is Revital Caronia's NPI number?

The NPI number for Revital Caronia is 1588858724. It was assigned to this individual provider in the NPPES registry on August 30, 2007. The provider is also known as Dr. Revital Amit Caronia D.O..

Q: What is Revital Caronia's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Revital Caronia was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 30, 2007PECOS Enrolled

4802 10TH AVE, MAIMONIDES MEDICAL CENTER - DEPARTMENT OF PEDIATRICS, BROOKLYN, NY 11219(718) 283-7500 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Revital Caronia D.o. NPPES

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

DR. REVITAL CARONIA D.O. (NPI 1588858724) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (257577) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588858724

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. REVITAL CARONIACredential: D.O.

Location Address4802 10TH AVE, MAIMONIDES MEDICAL CENTER - DEPARTMENT OF PEDIATRICSBrooklyn, NY 11219-2916

Mailing Address977 48th StBrooklyn, NY 11219-2919 · (718) 283-8015

Phone(718) 283-7500

Sole ProprietorYes

Enumeration DateAugust 30, 2007

Last NPPES UpdateFebruary 5, 2013

✔ NPI 1588858724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 257577

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4802 10TH AVE, Brooklyn, NY 11219

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Other Names 1

Other Name (5)Dr. Revital Amit Caronia D.o.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Revital Caronia D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Revital Caronia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maimonides Faculty Practice Plan

Same address

Internal Medicine

4802 10TH AVE
Brooklyn, NY 11219

Reassigned Medicare billing, New York enrollment
1,177 clinicians in this Medicare group

NPI 1053344846 (718) 283-8700

Mmc Pediatrics Faculty Practice

1.9 mi

Pediatrics

6010 BAY PKWY STE 902
Brooklyn, NY 11204

Reassigned Medicare billing, New York enrollment
137 clinicians in this Medicare group

NPI 1285648154 (718) 283-7500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11219 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

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 20

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

CARLOS BUZZETTA

Legal Medicine

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-8961

LOBELYS A ANICET PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-5660

CHIAMAKA MEREMETOH MD

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

JESSE M. GALINA

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

DR. ABANOUB ALFY NAKHLA MD

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

CHRISTINE LI MD

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

MS. KATRINA W SOWERBY FNP

Nurse Practitioner (Family)

4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219

Kings County (718) 283-7300

MAIMONIDES MEDICAL CENTER MAIMONIDES INFECTIOUS DISEASES FPP

Internal Medicine (Infectious Disease)

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-8773

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 Revital Caronia's NPI number?

The NPI number for Revital Caronia is 1588858724. It was assigned to this individual provider in the NPPES registry on August 30, 2007. The provider is also known as Dr. Revital Amit Caronia D.O..

Where is Revital Caronia located?

Revital Caronia practices at 4802 10th Ave Maimonides Medical Center - Department Of Pediatrics, Brooklyn, NY 11219. The listed phone number is (718) 283-7500.

What is Revital Caronia's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Revital Caronia enrolled in Medicare?

Yes. Revital Caronia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Revital Caronia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Revital Caronia reassigns Medicare benefits to 2 organizations: Maimonides Faculty Practice Plan (Brooklyn, NY) and Mmc Pediatrics Faculty Practice (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Revital Caronia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Revital Caronia was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.