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Search › New Jersey › Student in an Organized Health Care Education/Training Program

John Randolf Reveral, DPM

NPI 1801738505 · on the registry since 2026

Practice

Address
350 Boulevard
Passaic, NJ 07055
Phone
(973) 365-4662
Organisation at this address
Njwc
Royal Rx Inc
Royal Rx Inc
Ccmma Nj Llc
St Marys Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
101

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey