Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jorge Manuel Revelo Escobar, MD

Individual provider Pediatrics Physician · NPI 1679050579

Jorge Manuel Revelo Escobar, MD is a Pediatrics Physician in Elmhurst, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7901 Broadway
Elmhurst, NY 11373-1329
Phone: (718) 334-2156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 316622-01 (NY)

Record details

NPI number1679050579
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2018
Last updated in NPPESJuly 22, 2022
Certification dateJuly 21, 2022

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