Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ROOT REVIVER PLLC
NPI 1609776335
Nurse Practitioner - Psychiatric/Mental Health in Boston, MA

Q: What is Root Reviver PLLC's NPI number?

The NPI number for Root Reviver PLLC is 1609776335. It was assigned to this organization in the NPPES registry on November 6, 2026.

Q: What is Root Reviver PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Root Reviver PLLC was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.

Active since November 06, 2026

229 HEBRON ST, BOSTON, MA 02136(617) 885-7873 Get Directions Write a Review

NPPES record added: November 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Root Reviver Pllc NPPES

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

ROOT REVIVER PLLC (NPI 1609776335) is a healthcare organization registered as a psychiatric/mental health in Boston, Massachusetts and active in the NPI registry since November 2026. The organization lists Egbe Adekunle-moses, Ceo, Owner, as its authorized official.

NPPES Registry Identity

NPI1609776335

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameROOT REVIVER PLLC

Location Address229 HEBRON STBoston, MA 02136-6201

Mailing Address229 Hebron StBoston, MA 02136-6201 · (617) 885-7873

Phone(617) 885-7873

Organization SubpartNo

Authorized OfficialEgbe Adekunle-mosesCeo, Owner · (617) 885-7873

Enumeration DateNovember 6, 2026

NPPES CertifiedNovember 6, 2026

✔ NPI 1609776335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

229 HEBRON ST, Boston, MA 02136

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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

Other Providers at the Same Location NPPES 2

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

REVIVAL HEALTH CARE

Nursing Care

229 HEBRON ST
HYDE PARK, MA 02136

Suffolk County (857) 260-7441

MRS. EGBE BENEDICTA ADEKUNLE-MOSES I

Nurse Practitioner (Psychiatric/Mental Health)

229 HEBRON ST
HYDE PARK, MA 02136

Suffolk County (857) 544-9755

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 Root Reviver PLLC's NPI number?

The NPI number for Root Reviver PLLC is 1609776335. It was assigned to this organization in the NPPES registry on November 6, 2026.

Where is Root Reviver PLLC located?

Root Reviver PLLC is located at 229 Hebron St, Boston, MA 02136. The listed phone number is (617) 885-7873.

What is Root Reviver PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Root Reviver PLLC was last updated on November 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.