Revascmedprofessional Nj LLC
NPI 1154078202 · Interventional Cardiology Physician · Marlton, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revascmedprofessional Nj LLC is a Interventional Cardiology Physician organization in Marlton, NJ (NPI 1154078202).
Provider details
- NPI number
- 1154078202
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jon George, Owner(215) 575-5906
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Revamp
Registry dates
- Enumerated
- 2022-03-08
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Frequently asked questions
- What is Revascmedprofessional Nj LLC's NPI number?
- Revascmedprofessional Nj LLC's National Provider Identifier (NPI) is 1154078202, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revascmedprofessional Nj LLC?
- Revascmedprofessional Nj LLC is classified in the NPPES registry as Interventional Cardiology Physician (Allopathic & Osteopathic Physicians).
- Where is Revascmedprofessional Nj LLC located?
- Revascmedprofessional Nj LLC's practice location on file with NPPES is 525 Route 73 N Ste 117, Marlton, NJ 08053-3422.
- What is Revascmedprofessional Nj LLC's phone number?
- The practice phone number listed in the NPPES registry for Revascmedprofessional Nj LLC is (215) 575-5906.
- Does Revascmedprofessional Nj LLC accept Medicare?
- Revascmedprofessional Nj LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revascmedprofessional Nj LLC?
- The authorized official listed on Revascmedprofessional Nj LLC's NPPES record is Jon George, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revascmedprofessional Nj LLC's NPI active?
- Yes — Revascmedprofessional Nj LLC's NPI (1154078202) is active in the NPPES registry as of the last update on 2022-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.