Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
REVITALIZE MEDICAL AESTHETICS AND WELLNESS SPA
Active
Organization
REVITALIZE MEDICAL AESTHETICS AND WELLNESS SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMALIE RODRIGO MD (OWNER OF ENTITY)
(732) 835-2209
Entity
Organization
Contact information
Practice address
3435 US HIGHWAY 9 UNIT 4, FREEHOLD, NJ 07728-3285
(732) 835-2209
(848) 444-9218
Mailing address
3435 US HIGHWAY 9 UNIT 4, FREEHOLD, NJ 07728-3285
(732) 835-2209
(848) 444-9218
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
05/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers