REVIVE SPINE AND PAIN CENTER
NPI 1235674912
Physical Medicine & Rehabilitation - Pain Medicine in Marlton, NJ
NPI Status: Active since January 04, 2017
Contact Information
1001 LINCOLN DR W STE E
MARLTON, NJ
ZIP 08053
Phone: (856) 983-9001
Fax: (856) 983-9011
- Organization
- Physical Medicine & Rehabilitation
- Pain Medicine
- Accepts Insurance
- CLIA Number: 31D2133848
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-22-2026
About REVIVE SPINE AND PAIN CENTER
This page provides the complete NPI Profile along with additional information for Revive Spine And Pain Center, a provider established in Marlton, New Jersey operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1235674912 assigned on January 2017. The practitioner's primary taxonomy code is 2081P2900X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mike Nammour (Manager)
- NPI
- 1235674912
- Provider Name
- REVIVE SPINE AND PAIN CENTER
- Entity Type
- Organization
- Location Address
- 1001 LINCOLN DR W STE E MARLTON, NJ 08053
- Location Phone
- (856) 983-9001
- Location Fax
- (856) 983-9011
- Mailing Address
- PO BOX 1126 ABSECON, NJ 08201
- Mailing Phone
- (856) 983-9001
- Mailing Fax
- (856) 983-9011
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-04-2017
- Last Update Date
- 01-31-2024
- Code Navigator
Location Map
Secondary Locations
- 1245 Whitehorse Mercerville Rd Ste 407
Hamilton, NJ 08619
(609) 581-2400 - 555 Route 18 Ste 201
East Brunswick, NJ 08816
(732) 955-9139
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation Pain Medicine
- Taxonomy Code
- 2081P2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 31D2133848
- Facility Type
- Physician Office
- Certificate Effective Date
- February 23, 2024
- Certificate Expiration Date
- February 22, 2026
- Laboratory Director
- SAMIP R. BHATTARAI
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Revive Spine And Pain Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for REVIVE SPINE AND PAIN CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 6 | 7 | 4 | 9 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 12 | 7 | 8 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 2 + 7 + 8 + 9 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1235674912 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316334998 | SELORM TAKYI MD Individual | Physical Medicine & Rehabilitation | 1001 LINCOLN DR W STE E MARLTON, NJ 08053 (856) 983-9001 |
| 1457896003 | REVIVE SPINE AND PAIN CENTER Organization | Physical Medicine & Rehabilitation (Sports Medicine) | 1001 LINCOLN DR W STE E MARLTON, NJ 08053 (856) 983-9001 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235674912, enumerated in the NPI registry as an "organization" on January 04, 2017
The provider is located at 1001 Lincoln Dr W Ste E Marlton, Nj 08053 and the phone number is (856) 983-9001
This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 2081P2900X with a focus in Pain Medicine
The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 31D2133848 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on January 04, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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