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

Revivify LLC

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1063172880

Revivify LLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Summit, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

68 River Road Anx
Summit, NJ 07901-1450
Phone: (908) 273-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X

Record details

NPI number1063172880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marco Dimayorca — Managing Member · (908) 273-2222
NPI enumeratedDecember 20, 2021
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address68 River Road, Annex, Summit, NJ 07901-1450

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