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

Revitalize Medical Aesthetics and Wellness Spa

Organization Obstetrics & Gynecology Physician · NPI 1548024698

Revitalize Medical Aesthetics and Wellness Spa is an Obstetrics & Gynecology Physician in Freehold, New Jersey. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3435 US Highway 9 Unit 4
Freehold, NJ 07728-3285
Phone: (732) 835-2209
Fax: (848) 444-9218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1548024698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nimalie Rodrigo — Owner Of Entity · (732) 835-2209
NPI enumeratedFebruary 9, 2024
Last updated in NPPESMay 26, 2024
Certification dateMay 26, 2024
Mailing address3435 Us Highway 9 Unit 4, Freehold, NJ 07728-3285

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