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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: August 02, 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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Other Providers at the Same Location NPPES 20

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

OSTEOPATHIC FAMILY MEDICINE OF NORTHERN NJ LLC
Family Medicine
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (551) 500-5708
BERGEN SMILE CONFIDENCE,P.A.
Dentist
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (201) 444-2383
GEORGE J. MARTINO, MD, PA
General Acute Care Hospital
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (201) 447-4500
DR. STUART F. SLAVIN MD
Pediatrics
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (201) 652-0300
BERGEN WEST PEDIATRIC CENTER, PA
Pediatrics
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (201) 652-0300
SAMANTHA GOOTMAN
Nutritionist (Nutrition, Education)
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (551) 815-1000
LALA LEKHRAJ
Internal Medicine (Cardiovascular Disease)
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (201) 447-4600
MR. TOM R WILLEMANN PT,OCS,MS
Specialist
541 CEDAR HILL AVE
WYCKOFF, NJ 07481
Bergen County (201) 251-2422

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.

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 16 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.