Revivify LLC
NPI 1063172880 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Summit, NJ
Revivify LLC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Summit, NJ (NPI 1063172880).
Provider details
- NPI number
- 1063172880
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marco Dimayorca, Managing Member(908) 273-2222
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-12-20
- Last updated
- 2021-12-20
- Certified
- 2021-12-20
Frequently asked questions
- What is Revivify LLC's NPI number?
- Revivify LLC's National Provider Identifier (NPI) is 1063172880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revivify LLC?
- Revivify LLC is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Revivify LLC located?
- Revivify LLC's practice location on file with NPPES is 68 River Road, Summit, NJ 07901-1450.
- What is Revivify LLC's phone number?
- The practice phone number listed in the NPPES registry for Revivify LLC is (908) 273-2222.
- Who is the authorized official for Revivify LLC?
- The authorized official listed on Revivify LLC's NPPES record is Marco Dimayorca, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revivify LLC's NPI active?
- Yes — Revivify LLC's NPI (1063172880) is active in the NPPES registry as of the last update on 2021-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.