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REVITAL RETREAT, LLC
NPI 1366169989
Clinic/Center - Health Service in Piscataway, NJ

Active since October 25, 2022
371 HOES LN STE 200, PISCATAWAY, NJ 08854(732) 660-8029(732) 358-2921 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Revital Retreat, Llc NPPES

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

REVITAL RETREAT, LLC (NPI 1366169989) is a healthcare organization registered as a health service in Piscataway, New Jersey and active in the NPI registry since October 2022. The organization lists Evelyn Javier, Advance Practice Nurse/ Owner, as its authorized official.

NPPES Registry Identity

NPI1366169989
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameREVITAL RETREAT, LLC
Location Address371 HOES LN STE 200Piscataway, NJ 08854-4143
Mailing Address371 Hoes Ln Ste 200Piscataway, NJ 08854-4143 · (732) 660-8029 · Fax (732) 358-2921
Phone(732) 660-8029
Fax(732) 358-2921
Organization SubpartNo
Authorized OfficialEvelyn JavierAdvance Practice Nurse/ Owner · (732) 589-9388
Enumeration DateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
✔ NPI 1366169989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
371 HOES LN STE 200, Piscataway, NJ 08854
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Other Identifiers 1

Medicaid1881653608NJ

Other Providers at the Same Location NPPES 9

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

DJONIDE WALTON LAC
Counselor (Mental Health)
371 HOES LN STE 200
PISCATAWAY, NJ 08854
Middlesex County (732) 743-5774
RENEW COUNSELING CONSULTING AND WELLNESS SERVICES LLC
Counselor (Professional)
371 HOES LN STE 200
PISCATAWAY, NJ 08854
Middlesex County (732) 588-8740
MR. FRANCISCO ANTONIO GOMEZ L.M.T.
Massage Therapist
371 HOES LN STE 200
PISCATAWAY, NJ 08854
Middlesex County (732) 877-4534
E & 3C'S ENTERPRISES, INC.
Lodging
371 HOES LN STE 200
PISCATAWAY, NJ 08854
Middlesex County (732) 524-8864
MCCLENDON RECOVERY INITIATIVES INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
371 HOES LN STE 200
PISCATAWAY, NJ 08854
Middlesex County (732) 903-2175
MISS MICHELLE SIMONE REUBEN L.P.C
Counselor (Professional)
371 HOES LN STE 200
PISCATAWAY, NJ 08854
Middlesex County (732) 743-5774
NEUROMON PROFESSIONALS, LLC
Specialist
371 HOES LN STE 200
PISCATAWAY, NJ 08854
Middlesex County (732) 595-2444
TARLOH KOLLIE
Social Worker (Clinical)
371 HOES LN STE 200
PISCATAWAY, NJ 08854
Middlesex County (609) 531-5647

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 Revital Retreat, LLC's NPI number?

The NPI number for Revital Retreat, LLC is 1366169989. It was assigned to this organization in the NPPES registry on October 25, 2022.

Where is Revital Retreat, LLC located?

Revital Retreat, LLC is located at 371 Hoes Ln Ste 200, Piscataway, NJ 08854. The listed phone number is (732) 660-8029.

What is Revital Retreat, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Revital Retreat, LLC was last updated on October 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.