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SAMANTHA REVELLO DO
NPI 1922595784
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since April 17, 2018PECOS EnrolledAccepts Medicare Assignment
7676 AMBOY RD, STATEN ISLAND, NY 10307(347) 216-8232 Get Directions Write a Review

NPPES record last updated: January 19, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Samantha Revello Do NPPES

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

SAMANTHA REVELLO DO (NPI 1922595784) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Harlem Hospital Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2018).

NPPES Registry Identity

NPI1922595784
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA REVELLOCredential: DO
Location Address7676 AMBOY RDStaten Island, NY 10307-1433
Mailing Address7676 Amboy RdStaten Island, NY 10307-1433 · (718) 605-4118
Phone(347) 216-8232
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2018
Enumeration DateApril 17, 2018
Last NPPES UpdateJanuary 19, 2025
NPPES CertifiedJanuary 19, 2025
✔ NPI 1922595784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7676 AMBOY RD, Staten Island, NY 10307
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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

Samantha Revello Do 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 ID7618352568
PECOS Enrollment IDI20220914000901
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services20 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harlem Hospital Center

Acute Care Hospitals · New York, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330240
Location506 Lenox AvenueNew York, NY 10037 · New York County
Emergency services Birthing friendly

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 Samantha Revello's NPI number?

The NPI number for Samantha Revello is 1922595784. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Samantha Revello located?

Samantha Revello practices at 7676 Amboy Rd, Staten Island, NY 10307. The listed phone number is (347) 216-8232.

What is Samantha Revello's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Revello enrolled in Medicare?

Yes. Samantha Revello 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.

Is Samantha Revello affiliated with any hospitals?

According to CMS data, Samantha Revello is affiliated with Harlem Hospital Center.

When was this NPI record last updated?

The NPPES record for Samantha Revello was last updated on January 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.