REVAMP - ENCARDIA, LLC
NPI 1962245076
Clinic/Center - Ambulatory Surgical in Philadelphia, PA

Q: What is Revamp - Encardia, LLC's NPI number?

The NPI number for Revamp - Encardia, LLC is 1962245076. It was assigned to this organization in the NPPES registry on June 17, 2024. The provider is doing business as ReVaMP Heart & Vascular Surgery Center.

Q: What is Revamp - Encardia, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since June 17, 2024

510 N BROAD ST STE 201, PHILADELPHIA, PA 19130(267) 908-9520 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2026, Sep 9, 2024, Jun 17, 2024 (3 updates tracked since 2024).

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About Revamp - Encardia, Llc NPPES

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

REVAMP - ENCARDIA, LLC (NPI 1962245076), doing business as Revamp Heart & Vascular Surgery Center, is a healthcare organization registered as an ambulatory surgical in Philadelphia, Pennsylvania and active in the NPI registry since June 2024. The organization lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1962245076

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameREVAMP - ENCARDIA, LLC

Location Address510 N BROAD ST STE 201Philadelphia, PA 19130-4379

Mailing Address510 N Broad St Ste 201Philadelphia, PA 19130-4379 · (267) 908-9520

Phone(267) 908-9520

Organization SubpartNo

Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954

Enumeration DateJune 17, 2024

Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1962245076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

510 N BROAD ST STE 201, Philadelphia, PA 19130

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Other Names 1

Doing Business AsRevamp Heart & Vascular Surgery Center

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 Revamp - Encardia, LLC's NPI number?

The NPI number for Revamp - Encardia, LLC is 1962245076. It was assigned to this organization in the NPPES registry on June 17, 2024. The provider is doing business as ReVaMP Heart & Vascular Surgery Center.

Where is Revamp - Encardia, LLC located?

Revamp - Encardia, LLC is located at 510 N Broad St Ste 201, Philadelphia, PA 19130. The listed phone number is (267) 908-9520.

What is Revamp - Encardia, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Revamp - Encardia, LLC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.