Doctor profile · Federal record

Dr. Jennifer Revoredo, PA

Medical Physician Assistant · South Orange, NJ

  • NPI 1801239363
  • 13 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
20 Valley St Ste 320
South Orange, NJ 070792881
(973) 313-1113

Credentials & registration

NPPES · NUCC
NPI registered
April 2013 — 13 yrs on file
Profile last updated
March 7, 2017
Specialty taxonomy
363AM0700X — NUCC code
State license (1)
New Jersey #25MP00304400

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1801239363. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
350
Distinct HCPCS
3
Medicare allowed
$42,135
HCPCS Description Services Patients Avg allowed
99284 Emergency department visit with moderate level of medical decision making 216 214 $109
99285 Emergency department visit with high level of medical decision making 108 108 $157
99283 Emergency department visit with low level of medical decision making 26 26 $65

In context: peer comparison

Among 1 peers in South Orange Medical Physician Assistant, average services per provider: 116. This provider delivers 3.0× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
227
Patients
226
Total drug cost
$1,166
Drug Type Claims Patients Total cost
Tramadol Hcl Generic 59 59 $91
Methylprednisolone Generic 29 29 $308
Prednisone Generic 28 28 $40
Cephalexin Generic 24 23 $148
Ciprofloxacin Hcl Generic 20 20 $130
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 20 20 $42
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 19 19 $165
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 15 15 $49
Doxycycline Monohydrate Generic 13 13 $194

Frequently asked questions

Auto-generated from federal data
What is Dr. Jennifer Revoredo's medical specialty?
Dr. Jennifer Revoredo practices Medical Physician Assistant in South Orange, NJ.
Where does Dr. Jennifer Revoredo practice?
Dr. Jennifer Revoredo practices at 20 Valley St Ste 320, South Orange, NJ 070792881. Office phone: 9733131113.
What is Dr. Jennifer Revoredo's NPI?
Dr. Jennifer Revoredo's National Provider Identifier (NPI) is 1801239363, issued by NPPES.
What procedures does Dr. Jennifer Revoredo commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with high level of medical decision making (HCPCS 99285); Emergency department visit with low level of medical decision making (HCPCS 99283). Source: CMS Medicare Physician & Other Practitioners file.