- Practice location
- 541 Cedar Hill Ave, 2ND Floor, Wyckoff, NJ 07481
- Phone
- 201-212-6735
- Fax
- —
- Last updated
- March 18, 2025
Ketarevive, INC is a healthcare organization based in Wyckoff, NJ. Ketarevive, INC practices in Wyckoff, NJ. The NPI Number for Ketarevive, INC is 1235977893. The current practice location address for Ketarevive, INC is 541 Cedar Hill Ave, 2ND Floor, Wyckoff, NJ 07481 and can be reached out via phone at 201-212-6735.
Provider Profile Details
- NPI Number
- 1235977893
- Provider Name
- Ketarevive, INC
- Provider Entity Type
- Organization
- Address
- 541 Cedar Hill Ave, 2ND Floor, Wyckoff, NJ 07481
- Phone Number
- 201-212-6735
- Primary Taxonomy
- Emergency Medicine · 207P00000X
- Organization Subpart
- No
- Authorized Official
- Joseph Affortunato, DO · Partner · 516-225-3336
- Provider Enumeration Date
- July 17, 2024
- Last Update Date
- March 18, 2025
- Certification Date
- March 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 541 Cedar Hill Ave
2ND Floor
Wyckoff, NJ 07481 - City
- Wyckoff
- State
- New Jersey
- Zip
- 07481
- Phone Number
- 201-212-6735
Provider Business Mailing Address Details
- Address
- 19 Roxbury RD
Mahwah, NJ 07430-1641 - City
- Mahwah
- State
- NJ
- Zip
- 07430-1641
License Information
- Taxonomy
- Emergency Medicine · 207P00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Emergency Medicine providers near Wyckoff, NJ
View all Emergency Medicine providers in Wyckoff →- Maen I Abu Ghareibeh, PHARMDPharmacist · NPI 1285533687
- Emily ToalSpecialist/Technologist, Athletic Trainer · NPI 1942109301
- Domonique S Campbell-WilsonNurse Practitioner, Family · NPI 1831004639
- Ellen Usatin, LPCCounselor, Professional · NPI 1528716271
- Laser Dentistry For Children LLCDentist, Pediatric Dentistry · NPI 1255066775
- Sunshine Home Health Services, L.l.cHome Health · NPI 1336440635
Frequently Asked Questions
What is the NPI number of Ketarevive, INC?
The NPI number of Ketarevive, INC is 1235977893. It was assigned on July 17, 2024 and is currently active in the NPPES registry.
What is the specialty of Ketarevive, INC?
Ketarevive, INC is registered under the primary taxonomy Emergency Medicine (code 207P00000X).
Where does Ketarevive, INC practice?
The practice location is 541 Cedar Hill Ave, 2ND Floor, Wyckoff, NJ 07481. The office can be reached at 201-212-6735 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235977893 directly on the NPPES registry website.