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KETAREVIVE, INC
NPI 1235977893
Emergency Medicine in Wyckoff, NJ

Active since July 17, 2024
541 CEDAR HILL AVE, 2ND FLOOR, WYCKOFF, NJ 07481(201) 212-6735 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2025, Jul 17, 2024 (2 updates tracked since 2024).

About Ketarevive, Inc NPPES

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

KETAREVIVE, INC (NPI 1235977893) is a healthcare organization registered as an emergency medicine in Wyckoff, New Jersey and active in the NPI registry since July 2024. The organization lists Joseph Affortunato, Partner, as its authorized official.

NPPES Registry Identity

NPI1235977893
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameKETAREVIVE, INC
Location Address541 CEDAR HILL AVE, 2ND FLOORWyckoff, NJ 07481
Mailing Address19 Roxbury RdMahwah, NJ 07430-1641
Phone(201) 212-6735
Organization SubpartNo
Authorized OfficialJoseph AffortunatoPartner · (516) 225-3336
Enumeration DateJuly 17, 2024
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1235977893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
541 CEDAR HILL AVE, Wyckoff, NJ 07481
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ketarevive, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ketarevive, Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Joseph Affortunato, D.O.
Emergency Medicine
NPI 1902064199
675 ORCHARD LN
Franklin Lakes, NJ 07417
(516) 225-3336
✔ PECOS✔ Accepts Medicare1.8 mi
Jerome Edward Balbin, M.D.
Emergency Medicine
NPI 1043638638
703 MAIN STREET DEPARTMENT OF EMERGENCY MEDICINE
Paterson, NJ 07503
(973) 754-2000
✔ PECOS✔ Accepts Medicare5.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ketarevive, Inc's NPI number?

The NPI number for Ketarevive, Inc is 1235977893. It was assigned to this organization in the NPPES registry on July 17, 2024.

Where is Ketarevive, Inc located?

Ketarevive, Inc is located at 541 Cedar Hill Ave 2nd Floor, Wyckoff, NJ 07481. The listed phone number is (201) 212-6735.

What is Ketarevive, Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ketarevive, Inc enrolled in Medicare?

Yes. Ketarevive, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ketarevive, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Emergency Medicine, reassign their Medicare billing to Ketarevive, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ketarevive, Inc was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.