MRS. REVATHI VIJAYARAGHAVAN P.A.
NPI 1710062682
Physician Assistant - Medical in Valley Stream, NY

Q: What is Revathi Vijayaraghavan's NPI number?

The NPI number for Revathi Vijayaraghavan is 1710062682. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Q: What is Revathi Vijayaraghavan's specialty?

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

Active since October 26, 2006

19 DAREWOOD LN, VALLEY STREAM, NY 11581(516) 792-3789 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Revathi Vijayaraghavan P.a. NPPES

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

MRS. REVATHI VIJAYARAGHAVAN P.A. (NPI 1710062682) is an individual medical provider in Valley Stream, New York, licensed in New York (007222) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1710062682

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. REVATHI VIJAYARAGHAVANCredential: P.A.

Location Address19 DAREWOOD LNValley Stream, NY 11581-2407

Mailing Address19 Darewood LnValley Stream, NY 11581-2407 · (516) 792-3789

Phone(516) 792-3789

Sole ProprietorNo

Enumeration DateOctober 26, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1710062682 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 · 007222

19 DAREWOOD LN, Valley Stream, NY 11581

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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 Revathi Vijayaraghavan's NPI number?

The NPI number for Revathi Vijayaraghavan is 1710062682. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Revathi Vijayaraghavan located?

Revathi Vijayaraghavan practices at 19 Darewood Ln, Valley Stream, NY 11581. The listed phone number is (516) 792-3789.

What is Revathi Vijayaraghavan's specialty?

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

When was this NPI record last updated?

The NPPES record for Revathi Vijayaraghavan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.