REVIVE RHEUMATOLOGY OF NORTH JERSEY, LLC
NPI 1245894971
Internal Medicine - Rheumatology in Franklin Lakes, NJ

Q: What is Revive Rheumatology Of North Jersey, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Active since April 29, 2019

784 FRANKLIN AVE STE 250, FRANKLIN LAKES, NJ 07417(772) 971-5848 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2026, Oct 22, 2019, Apr 29, 2019 (3 updates tracked since 2019).

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About Revive Rheumatology Of North Jersey, Llc NPPES

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

REVIVE RHEUMATOLOGY OF NORTH JERSEY, LLC (NPI 1245894971) is a healthcare organization registered as a rheumatology in Franklin Lakes, New Jersey and active in the NPI registry since April 2019. The organization lists Shazia Shadani, Physician, as its authorized official.

NPPES Registry Identity

NPI1245894971

Entity TypeOrganization

Primary Taxonomy207RR0500X

Legal Business NameREVIVE RHEUMATOLOGY OF NORTH JERSEY, LLC

Location Address784 FRANKLIN AVE STE 250Franklin Lakes, NJ 07417-1306

Mailing Address100 Willowbrook CtParamus, NJ 07652-1833

Phone(772) 971-5848

Organization SubpartNo

Authorized OfficialShazia ShadaniPhysician · (772) 971-5848

Enumeration DateApril 29, 2019

Last NPPES UpdateMay 26, 20263 updates tracked since enumeration

NPPES CertifiedMay 26, 2026

✔ NPI 1245894971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

784 FRANKLIN AVE STE 250, Franklin Lakes, NJ 07417

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Revive Rheumatology Of North Jersey, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Revive Rheumatology Of North Jersey, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shazia Shadani, D.O

Rheumatology

NPI 1629398250

784 FRANKLIN AVE STE 250
Franklin Lakes, NJ 07417

(844) 777-0910

✔ PECOS✔ Accepts MedicareSame address

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 Revive Rheumatology Of North Jersey, LLC's NPI number?

The NPI number for Revive Rheumatology Of North Jersey, LLC is 1245894971. It was assigned to this organization in the NPPES registry on April 29, 2019.

Where is Revive Rheumatology Of North Jersey, LLC located?

Revive Rheumatology Of North Jersey, LLC is located at 784 Franklin Ave Ste 250, Franklin Lakes, NJ 07417. The listed phone number is (772) 971-5848.

What is Revive Rheumatology Of North Jersey, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Revive Rheumatology Of North Jersey, LLC enrolled in Medicare?

Yes. Revive Rheumatology Of North Jersey, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Revive Rheumatology Of North Jersey, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Rheumatology) reassigns their Medicare billing to Revive Rheumatology Of North Jersey, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Revive Rheumatology Of North Jersey, LLC was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.