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DR. TIFFANY BROOK REAVIS D.O. NPI 1952607251


NPI Information

NPI: 1952607251
Provider Name: DR. TIFFANY BROOK REAVIS, D.O.
Classification: Surgery - 2086S0127X
Entity Type: Individual

Specialization: Trauma Surgery

PECOS Registration: Yes

Address:
150 55TH ST
BROOKLYN, NY
ZIP 11220
Phone: (909) 636-6497
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DR. Tiffany Brook Reavis, D.O. is a trauma surgery surgery in Brooklyn, NY. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. DR. Tiffany Brook Reavis, D.O. NPI is 1952607251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 55TH ST
BROOKLYN, NY
ZIP 11220-508
Phone: (909) 636-6497

The NPI 1952607251 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2011 and was last updated on 9/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12082S0105XPlastic SurgerySurgery of the Hand259626NEW YORKNo
2208600000XSurgery005932ARIZONANo
32086S0127XSurgeryTrauma Surgery005932ARIZONANo
4208600000XSurgery259626NEW YORKNo
5208200000XPlastic SurgeryOP 60329393WASHINGTONNo
6208600000XSurgeryOP 60329393WASHINGTONNo
72086S0127XSurgeryTrauma Surgery259626NEW YORKYes
82086S0127XSurgeryTrauma SurgeryOS 12793FLORIDANo
9208600000XSurgeryOS 12793FLORIDANo
10208200000XPlastic SurgeryOS 12793FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.