Organization
REVITAL RETREAT, LLC
Active
Organization
REVITAL RETREAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN JAVIER APRN (ADVANCE PRACTICE NURSE/ OWNER)
(732) 589-9388
Entity
Organization
Contact information
Practice address
371 HOES LN STE 200, PISCATAWAY, NJ 08854-4143
(732) 660-8029
(732) 358-2921
Mailing address
371 HOES LN STE 200, PISCATAWAY, NJ 08854-4143
(732) 660-8029
(732) 358-2921
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881653608
—
NJ
Enumeration date
10/25/2022
Last updated
10/25/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up