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

Mrs. Gina Revzin, PA

Individual provider Medical Physician Assistant · NPI 1346570322

Mrs. Gina Revzin, PA is a Physician Assistant in Massapequa, New York. Qualified in 2002, 24 years ago. Practices with Brain and Spine Surgeons of New York PC, a 24-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

627 Broadway Ste 1
Massapequa, NY 11758-5031
Phone: (516) 541-4171
Fax: (516) 377-5712
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 009155 (NY)

Record details

NPI number1346570322
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 13, 2010
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Brain And Spine Surgeons Of New York Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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