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

Juan Carlos Revelli, NURSEPRACTITIONER

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1336833144

Juan Carlos Revelli, NURSEPRACTITIONER is a Nurse Practitioner in Elmhurst, New York. Qualified in 2021, 5 years ago. Practices with New York City Health and Hospitals Corporation, a 538-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2023
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Practice location Address checks out

7901 Broadway
Elmhurst, NY 11373-1329
Phone: (718) 334-3507
Fax: (718) 334-5006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 403827 (NY)

Record details

NPI number1336833144
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice New York City Health And Hospitals Corporation — 538 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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