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

Ravina Chawla

Individual provider Family Nurse Practitioner · NPI 1083125389

Ravina Chawla is a Nurse Practitioner in New York, New York. Qualified in 2020, 6 years ago. Practices with Excel Urgent Care of Wantagh PLLC, a 39-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
6
Licensed in
NJ, NY
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

462 1st Ave
New York, NY 10016-9196
Phone: (212) 562-4141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 343744 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 26NJ00901300 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 749990 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 26NR18804300 (NJ)

Record details

NPI number1083125389
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 13, 2017
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Excel Urgent Care Of Wantagh Pllc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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