Individual provider · Type 1 NPI

Nickolas Alexander Reviello

Physician Assistant · Dickson City, PA

NPI number 1821765272 Active

Practice location

334 Main St Ste 1
Dickson City, PA 18519-1668

Call (570) 307-1767 Map

Mailing address

74 Douglas Dr
Covington Township, PA 18424-7825

Other practice locations

851 S Main St, Holly Springs, NC 27540-8907 · (919) 346-8651

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	MA062756 (PA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

2 other providers at this address

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About NPI 1821765272

Nickolas Alexander Reviello's National Provider Identifier is 1821765272, issued on Aug 24, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Dickson City, PA. The record was last updated on Nov 18, 2025.