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

Revive by Carolina, Inc

Organization Infectious Disease Physician · NPI 1194404574

Revive by Carolina, Inc is an Infectious Disease Physician in Teaneck, New Jersey. Registered with an NPI since 2023.

In the registry since
2023
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

1086 Teaneck Rd Ste 4F1
Teaneck, NJ 07666-4857
Phone: (201) 916-9544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X

Record details

NPI number1194404574
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandres Martinez — Manager · (201) 916-9544
Other names Jersey Hydreigth
NPI enumeratedJuly 13, 2023
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024
Mailing address1086 Teaneck Rd Ste 4f1, Teaneck, NJ 07666-4857

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