REVIVE HEALTH AND AESTHETICS PC
NPI 1104644145
Dermatology in East Longmeadow, MA

Active since September 30, 2024
294 N MAIN ST, EAST LONGMEADOW, MA 01028(413) 224-1009 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Revive Health And Aesthetics Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVIVE HEALTH AND AESTHETICS PC (NPI 1104644145) is a healthcare organization registered as a dermatology in East Longmeadow, Massachusetts and active in the NPI registry since September 2024. The organization lists Adekunle A. Fajana, President, as its authorized official.

NPPES Registry Identity

NPI1104644145
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameREVIVE HEALTH AND AESTHETICS PC
Location Address294 N MAIN STEast Longmeadow, MA 01028-1838
Mailing Address294 N Main StEast Longmeadow, MA 01028-1838 · (413) 224-1009
Organization SubpartNo
Authorized OfficialAdekunle A. FajanaPresident · (508) 735-3280
Enumeration DateSeptember 30, 2024
NPPES CertifiedSeptember 30, 2024
NPI 1104644145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
294 N MAIN ST, East Longmeadow, MA 01028

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
294 N MAIN ST
EAST LONGMEADOW, MA 01028
Nurse Practitioner (Pediatrics)
294 N MAIN ST, SUITE 101
EAST LONGMEADOW, MA 01028
Nurse Practitioner (Family)
294 N MAIN ST
EAST LONGMEADOW, MA 01028
Nurse Practitioner
294 N MAIN ST
EAST LONGMEADOW, MA 01028
Nurse Practitioner (Family)
294 N MAIN ST, SUITE 101
EAST LONGMEADOW, MA 01028
Pediatrics (Adolescent Medicine)
294 N MAIN ST, SUITE 101
EAST LONGMEADOW, MA 01028
Pediatrics (Adolescent Medicine)
294 N MAIN ST, SUITE 101
EAST LONGMEADOW, MA 01028
Nurse Practitioner (Pediatrics)
294 N MAIN ST, SUITE 101
EAST LONGMEADOW, MA 01028

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revive Health And Aesthetics PC's NPI number?

The NPI number for Revive Health And Aesthetics PC is 1104644145. It was assigned to this organization in the NPPES registry on September 30, 2024.

Where is Revive Health And Aesthetics PC located?

Revive Health And Aesthetics PC is located at 294 N Main St, East Longmeadow, MA 01028. The listed phone number is (413) 224-1009.

What is Revive Health And Aesthetics PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Revive Health And Aesthetics PC was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.