Jennifer Alicea Revoredo, PA
Medical Physician Assistant · South Orange, NJ
Jennifer Alicea Revoredo, PA is a medical physician assistant with a practice address in South Orange, New Jersey, and NPI 1801239363, issued on Apr 15, 2013. Check the license (New Jersey 25MP00304400, as entered in NPPES) with the New Jersey board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jennifer Alicea Revoredo
- Credential
- PA
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- 25MP00304400 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 20 Valley St Ste 320, South Orange, NJ 07079
- Phone
- (973) 313-1113
- Enumerated
- Apr 15, 2013
- Record last updated
- Mar 7, 2017 (not updated in 9 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 794 in New Jersey → Look up another NPI →
Also registered at 20 Valley St Ste 320
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Shyla Kissoon, PA-CPhysician Assistant1790399483
- Ashlyne Mejia, NPFamily Nurse Practitioner1184595290
- Samantha MinottFamily Nurse Practitioner1063980688
- Chukwunwike Okafor, MDSports Medicine (Family Medicine) Physician1417584962
Verify Jennifer Alicea Revoredo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New Jersey board licenses this profession
Search for license 25MP00304400Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
67% fewer Medicare Part D claims than the average medical physician assistant in 2024
384 Medicare Part D claims for 263 beneficiaries, against an average of 1,148 among the 23,801 providers of this specialty who prescribed in Part D. 93 claims were for opioids.
Most prescribed
- Tramadol Hcl54 claims
- Cephalexin30 claims
- Prednisone29 claims
- Methylprednisolone28 claims
- Amoxicillin-Clavulanate Potass24 claims
- Hydrocodone-Acetaminophen21 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Jennifer Alicea Revoredo among 794 medical physician assistant records in New Jersey
Jennifer Alicea Revoredo, PA is one of 794 medical physician assistant records with a practice address in New Jersey. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 45% of them.
- NPI issued2013 · 45% of these records are older, 51% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileNo · 65% of these records are
- Record last updated2017 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Medical Physician Assistant providers in New Jersey
There are 794 medical physician assistant records in New Jersey.
All 794 in New Jersey → Every provider in South Orange → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Emmanuel Gonzalez, PASouth Orange, NJ 070791386480481
- Cecil Alvarez, PHYSICIAN ASSISTANTSouth Plainfield, NJ 070801245400191
- Viraj Patel, PA -CSouth Plainfield, NJ 070801871843615
- Vashti EtwaruSpringfield, NJ 070811114159506
- Paula FedorovskySpringfield Township, NJ 070811760024665
- Daniella Greaves, PASpringfield, NJ 070811285232140
- Ronit Himmelfarb, PASpringfield, NJ 070811538531389
- Jessica SurloffSpringfield, NJ 070811609044957
Common questions
What is Jennifer Alicea Revoredo, PA's NPI number?
Jennifer Alicea Revoredo, PA's National Provider Identifier (NPI) is 1801239363, issued on Apr 15, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Jennifer Alicea Revoredo, PA located?
The NPPES record lists a practice address at 20 Valley St Ste 320, South Orange, NJ, 07079. Phone: (973) 313-1113. Providers update this record themselves, so call before visiting.
How can I verify Jennifer Alicea Revoredo, PA's license?
NPPES lists New Jersey license number 25MP00304400, as entered by the provider. Search the New Jersey board that licenses this profession; the NPPES record confirms identity only.
How much does Jennifer Alicea Revoredo, PA prescribe under Medicare Part D?
In 2024, Jennifer Alicea Revoredo, PA had 384 Medicare Part D claims for 263 beneficiaries; the average among medical physician assistant prescribers was 1,148. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.