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

Individual provider Physician Assistant · NPI 1770100646

Reva Jain, PA-C is a Physician Assistant in Teaneck, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

870 Palisade Ave
Teaneck, NJ 07666-3419
Phone: (201) 836-1663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00827900 (NJ)

Record details

NPI number1770100646
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 26, 2020
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address3 University Plz Ste 205, Hackensack, NJ 07601-6208

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