REVITAL RETREAT, LLC
NPI 1366169989
Clinic/Center - Health Service in Piscataway, NJ

NPI Status: Active since October 25, 2022

Contact Information

371 HOES LN STE 200
PISCATAWAY, NJ
ZIP 08854
Phone: (732) 660-8029
Fax: (732) 358-2921

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  • Organization
  • Clinic/Center
  • Health Service

About REVITAL RETREAT, LLC

This page provides the complete NPI Profile along with additional information for Revital Retreat, Llc, a provider established in Piscataway, New Jersey operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1366169989 assigned on October 2022. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Evelyn Javier Aprn (Advance Practice Nurse/ Owner)

NPI
1366169989
Provider Name
REVITAL RETREAT, LLC
Entity Type
Organization
Location Address
371 HOES LN STE 200 PISCATAWAY, NJ 08854
Location Phone
(732) 660-8029
Location Fax
(732) 358-2921
Mailing Address
371 HOES LN STE 200 PISCATAWAY, NJ 08854
Mailing Phone
(732) 660-8029
Mailing Fax
(732) 358-2921
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2022
Last Update Date
10-25-2022
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Location Map

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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EVELYN JAVIER APRN

Authorized Official Title
ADVANCE PRACTICE NURSE/ OWNER
Authorized Official Phone
(732) 589-9388

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1881653608MEDICAID (05)NJ 

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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.
1366169989
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231262618916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 2 + 6 + 1 + 8 + 9 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1366169989 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497355580MR. FRANCISCO ANTONIO GOMEZ L.M.T.
Individual
Massage Therapist371 HOES LN STE 200
PISCATAWAY, NJ 08854
(732) 877-4534
1679218622NEUROMON PROFESSIONALS, LLC
Organization
Specialist371 HOES LN STE 200
PISCATAWAY, NJ 08854
(732) 595-2444
1528775137E & 3C'S ENTERPRISES, INC.
Organization
Lodging371 HOES LN STE 200
PISCATAWAY, NJ 08854
(732) 524-8864
1578927802MCCLENDON RECOVERY INITIATIVES INC.
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)371 HOES LN STE 200
PISCATAWAY, NJ 08854
(732) 903-2175
1447751284RENEW COUNSELING CONSULTING AND WELLNESS SERVICES LLC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))371 HOES LN STE 200
PISCATAWAY, NJ 08854
(732) 588-8740
1508357229RENEW COUNSELING CONSULTING AND WELLNESS SERVICES LLC
Organization
Counselor (Professional)371 HOES LN STE 200
PISCATAWAY, NJ 08854
(732) 588-8740
1750117552MS. ALEXIS ELAINE PIEZ BS, CNIM
Individual
Specialist/Technologist, Other (Electroneurodiagnostic)371 HOES LN STE 200
PISCATAWAY, NJ 08854
(732) 959-2444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366169989, enumerated in the NPI registry as an "organization" on October 25, 2022

The provider is located at 371 Hoes Ln Ste 200 Piscataway, Nj 08854 and the phone number is (732) 660-8029

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 25, 2022. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.