Ketarevive, Inc

LBN: Ketarevive, Inc
Ketarevive, Inc is an health care organization with primary practice located at 541 Cedar Hill Ave 2Nd Floor, Wyckoff NJ 07481. The organization recently has only one registered license in Ambulatory Health Care Facilities / Infusion Therapy, which is considered as the primary health care specialty. Ketarevive, Inc can be contacted via phone (201) 212-6735, or through Affortunato, Joseph via phone (516) 225-3336.

Contact Information

Primary practice address
541 Cedar Hill Ave 2Nd Floor Wyckoff NJ 07481
Phone: (201) 212-6735
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Affortunato, Joseph Doctor of Osteopathy (DO)
Phone: (516) 225-3336

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Infusion Therapy 261QI0500X

Profile Details

NPI number 1235977893
LBN Legal business name Ketarevive, Inc
DBA Doing business as
Authorized official Affortunato, Joseph Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2024
Last updated Jul 17th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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