REVIVE SPINE AND PAIN CENTER (NPI# 1457896003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457896003 |
| Entity Type | Organization |
| Organization Name | REVIVE SPINE AND PAIN CENTER |
| Practice Address |
515 South Broad St Ste 201 Trenton NJ 08611 |
| Mailing Address |
Po Box 1126 Absecon NJ 08201 |
| Practice Telephone | 6097779700 |
| Practice Fax Number | 6097779701 |
| Mailing Telephone | 6097779700 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Authorized Official Name | DR. MICHAEL RIZKALLA (DIRECTOR) |
| Authorized Official Telephone | 6092711324 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
25MA08922900 | NJ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235674912 | Revive Spine and Pain Center | Physical Medicine & Rehabilitation | 1001 Lincoln Dr W Ste F, Marlton, NJ 08053-1534 | 2017-01-04 |
| Street Address |
515 SOUTH BROAD ST STE 201 |
| City | TRENTON |
| State | NJ |
| Zip Code | 08611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134789332 | Capital Chiropractic and Pain Management | Chiropractor | 833 Cass Street 1st Floor, Trenton, NJ 08611 | 2019-06-19 |
| 1386184497 | Joseph Michael Rizziello | Counselor | 635 South Clinton Avenue, The Children's Home Society of Nj, Trenton, NJ 08611 | 2017-03-08 |
| 1235508474 | Kevin Stansbury Jr. | Counselor | 15 Cummings Place, Trenton, NJ 08611 | 2015-09-17 |
| 1144628736 | Guardian Angel Ambulance | Ambulance | 1027 S Clinon Ave, Trenton, NJ 08611 | 2014-12-12 |
| 1710194972 | Fishmans Acousticon Hrg Aid Services Inc | Hearing Instrument Specialist | 979 S Broad St, Trenton, NJ 08611 | 2007-05-17 |
| 1770904450 | Ranjeet Kaur Singh | Nurse Practitioner | 833 Cass Street, Catholic Charities Diocese of Trenton, Trenton, NJ 08611 | 2013-12-23 |
| 1093153108 | Lisa Marie Lawson | Counselor | 833 Cass St, Trenton, NJ 08611 | 2013-06-11 |
| 1689027187 | Kristhel Ortega | Counselor | 44 Division St, Trenton, NJ 08611-1034 | 2016-07-20 |
| 1447513197 | Traveling Barbers of America | In Home Supportive Care | 15 Cummings Pl, Trenton, NJ 08611-1333 | 2012-06-18 |
| 1144664517 | 1-800-4 A Haircut | In Home Supportive Care | 1113 Anderson St, Trenton, NJ 08611-1403 | 2013-04-29 |
| Find all providers in zip 08611 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821630286 | Fresh Start Medical Center Inc. | Clinic/Center | 317 Cleveland Ave Fl 1, Highland Park, NJ 08904-1817 | 2019-10-16 |
| 1407342728 | Golden Holistic Treatment Center | Clinic/Center | 6809 Bergenline Ave, West New York, NJ 07093-1807 | 2018-07-10 |
| 1396235990 | The Peace Within Spa & | Clinic/Center | 63 Beaverbrook Rd Ste 105, Lincoln Park, NJ 07035-1440 | 2018-05-18 |
| 1780174136 | Edison Spine & Pain Center LLC | Clinic/Center | 940 Amboy Ave Ste 103, Edison, NJ 08837-2869 | 2018-05-11 |
| 1598279218 | Spine Institute of North America LLC | Clinic/Center | 385 Cranbury Rd Ste 2, East Brunswick, NJ 08816-3000 | 2017-11-17 |
| 1245776582 | Jennifer Arango | Clinic/Center | 139 77th St, North Bergen, NJ 07047-5836 | 2017-01-10 |
| 1043764269 | Interventional Pain and Spine Institute Inc | Clinic/Center | 1907 Oak Tree Rd Ste 102, Edison, NJ 08820-2070 | 2016-08-04 |
| 1003279506 | Advanced Spine and Pain Center LLC | Clinic/Center | 1060 Broad Street, Newark, NJ 07102 | 2016-04-01 |
| 1972978765 | Riverside Pain Management LLC | Clinic/Center | 1025 Maxwell Ln Apt 515, Hoboken, NJ 07030-6825 | 2015-12-06 |
| 1861863524 | Bridgeview Pain Center LLC | Clinic/Center | 1566 Lemoine Ave, Fort Lee, NJ 07024-5635 | 2015-10-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on REVIVE SPINE AND PAIN CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.