KETAREVIVE, INC – NPI #1235977893
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Health Care Provider Taxonomy Code for Emergency Medicine

KETAREVIVE, INC is a provider located in WYCKOFF, NJ. NPPES has assigned the NPI number 1235977893 to KETAREVIVE, INC on July 17, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on Mar 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KETAREVIVE, INC below.

NPI Profile for
KETAREVIVE, INC

NPI Number
1235977893
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KETAREVIVE, INC
Primary location
541 CEDAR HILL AVE
2ND FLOOR
WYCKOFF, NJ 07481
Phone: (201) 212-6735 Fax:
Mailing address
19 ROXBURY RD
MAHWAH, NJ 07430-1641
Phone: Fax:
Organization Subpart
No
Authorized Official
JOSEPH AFFORTUNATO
PARTNER
Phone: (516) 225-3336
Updated
Certification Date
Mar 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.