Active NPIOrganization

Revitalize Medical Aesthetics And Wellness Spa

Obstetrics & Gynecology in Freehold, New Jersey

NPI Number1548024698
Practice location
3435 US Highway 9 Unit 4, Freehold, NJ 07728-3285
Fax
848-444-9218
Last updated
May 26, 2024

Revitalize Medical Aesthetics And Wellness Spa is a healthcare organization based in Freehold, NJ. Revitalize Medical Aesthetics And Wellness Spa practices in Freehold, NJ. The NPI Number for Revitalize Medical Aesthetics And Wellness Spa is 1548024698. The current practice location address for Revitalize Medical Aesthetics And Wellness Spa is 3435 US Highway 9 Unit 4, Freehold, NJ 07728-3285 and can be reached out via phone at 732-835-2209 and via fax at 848-444-9218.

Provider Profile Details

NPI Number
1548024698
Provider Name
Revitalize Medical Aesthetics And Wellness Spa
Provider Entity Type
Organization
Address
3435 US Highway 9 Unit 4, Freehold, NJ 07728-3285
Phone Number
732-835-2209
Fax Number
848-444-9218
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Organization Subpart
No
Authorized Official
Nimalie Rodrigo, MD · Owner Of Entity · 732-835-2209
Provider Enumeration Date
February 9, 2024
Last Update Date
May 26, 2024
Certification Date
May 26, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3435 US Highway 9 Unit 4
Freehold, NJ 07728-3285
Zip
07728-3285
Phone Number
732-835-2209
Fax Number
848-444-9218
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
3435 US Highway 9 Unit 4
Freehold, NJ 07728-3285
City
Freehold
State
NJ
Zip
07728-3285
Phone Number
732-835-2209
Fax Number
848-444-9218

License Information

Taxonomy
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Revitalize Medical Aesthetics And Wellness Spa?

The NPI number of Revitalize Medical Aesthetics And Wellness Spa is 1548024698. It was assigned on February 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Revitalize Medical Aesthetics And Wellness Spa?

Revitalize Medical Aesthetics And Wellness Spa is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X).

Where does Revitalize Medical Aesthetics And Wellness Spa practice?

The practice location is 3435 US Highway 9 Unit 4, Freehold, NJ 07728-3285. The office can be reached at 732-835-2209 (phone) or 848-444-9218 (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 1548024698 directly on the NPPES registry website.

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