REVIVE RHEUMATOLOGY OF NORTH JERSEY, LLC – NPI #1245894971
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

REVIVE RHEUMATOLOGY OF NORTH JERSEY, LLC is a provider located in FRANKLIN LAKES, NJ. NPPES has assigned the NPI number 1245894971 to REVIVE RHEUMATOLOGY OF NORTH JERSEY, LLC on April 29, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was last updated on May 26, 2026. 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 REVIVE RHEUMATOLOGY OF NORTH JERSEY, LLC below.

NPI Profile for
REVIVE RHEUMATOLOGY OF NORTH JERSEY, LLC

NPI Number
1245894971
Enumeration Date

(more than 7 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
REVIVE RHEUMATOLOGY OF NORTH JERSEY, LLC
Primary location
784 FRANKLIN AVE STE 250
FRANKLIN LAKES, NJ 07417-1306
Phone: (772) 971-5848 Fax:
Mailing address
100 WILLOWBROOK CT
PARAMUS, NJ 07652-1833
Phone: Fax:
Organization Subpart
No
Authorized Official
SHAZIA SHADANI
PHYSICIAN
Phone: (772) 971-5848
Updated
Certification Date
May 26, 2026

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
207RR0500X
- Internal Medicine / Rheumatology (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.