Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ketarevive, Inc

Organization Emergency Medicine Physician · NPI 1235977893

Ketarevive, Inc is an Emergency Medicine Physician in Wyckoff, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

541 Cedar Hill Ave 2nd Fl
Wyckoff, NJ 07481
Phone: (201) 212-6735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1235977893
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Affortunato — Partner · (516) 225-3336
NPI enumeratedJuly 17, 2024
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address19 Roxbury Rd, Mahwah, NJ 07430-1641

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