Revital Retreat, LLC
Clinic/Center, Health Services in Piscataway, New Jersey
1366169989- Practice location
- 371 Hoes Ln Ste 200, Piscataway, NJ 08854-4143
- Phone
- 732-660-8029
- Fax
- 732-358-2921
- Last updated
- October 25, 2022
Revital Retreat, LLC is a healthcare organization based in Piscataway, NJ. Revital Retreat, LLC practices in Piscataway, NJ. The NPI Number for Revital Retreat, LLC is 1366169989. The current practice location address for Revital Retreat, LLC is 371 Hoes Ln Ste 200, Piscataway, NJ 08854-4143 and can be reached out via phone at 732-660-8029 and via fax at 732-358-2921.
Provider Profile Details
- NPI Number
- 1366169989
- Provider Name
- Revital Retreat, LLC
- Provider Entity Type
- Organization
- Address
- 371 Hoes Ln Ste 200, Piscataway, NJ 08854-4143
- Phone Number
- 732-660-8029
- Fax Number
- 732-358-2921
- Primary Taxonomy
- Clinic/Center, Health Services · 261QH0100X
- Organization Subpart
- No
- Authorized Official
- Evelyn Javier, APRN · Advance Practice Nurse/ Owner · 732-589-9388
- Provider Enumeration Date
- October 25, 2022
- Last Update Date
- October 25, 2022
- Certification Date
- October 25, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 371 Hoes Ln Ste 200
Piscataway, NJ 08854-4143 - City
- Piscataway
- State
- New Jersey
- Zip
- 08854-4143
- Phone Number
- 732-660-8029
- Fax Number
- 732-358-2921
Provider Business Mailing Address Details
- Address
- 371 Hoes Ln Ste 200
Piscataway, NJ 08854-4143 - City
- Piscataway
- State
- NJ
- Zip
- 08854-4143
- Phone Number
- 732-660-8029
- Fax Number
- 732-358-2921
License Information
- Taxonomy
- Clinic/Center, Health Services · 261QH0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Revital Retreat, LLC?
The NPI number of Revital Retreat, LLC is 1366169989. It was assigned on October 25, 2022 and is currently active in the NPPES registry.
What is the specialty of Revital Retreat, LLC?
Revital Retreat, LLC is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X).
Where does Revital Retreat, LLC practice?
The practice location is 371 Hoes Ln Ste 200, Piscataway, NJ 08854-4143. The office can be reached at 732-660-8029 (phone) or 732-358-2921 (fax).
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 1366169989 directly on the NPPES registry website.