IndividualActive
Paola Reveco, DO
NPI 1700249547 · Hospice and Palliative Medicine (Family Medicine) Physician · Berkeley Heights, NJ
Provider details
- NPI number
- 1700249547
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 299096 (NY)
Specialties & taxonomies
- Hospice and Palliative Medicine (Family Medicine) PhysicianPrimary207QH0002XLicense 25MB10917600 (NJ)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone: (908) 273-4300
Approximate (ZIP-level) locationGet directions
Mailing address
5645 Main St
Flushing, NY 11355-5045
Registry dates
- Enumerated
- 2016-03-30
- Last updated
- 2021-02-09
- Certified
- 2021-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.