Revive Health and Aesthetics PC
NPI 1104644145 · Dermatology Physician · East Longmeadow, MA
Revive Health and Aesthetics PC is a Dermatology Physician organization in East Longmeadow, MA (NPI 1104644145).
Provider details
- NPI number
- 1104644145
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adekunle Fajana, President(508) 735-3280
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
2 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
- 2024-09-30
- Last updated
- 2024-09-30
- Certified
- 2024-09-30
Frequently asked questions
- What is Revive Health and Aesthetics PC's NPI number?
- Revive Health and Aesthetics PC's National Provider Identifier (NPI) is 1104644145, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Health and Aesthetics PC?
- Revive Health and Aesthetics PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Revive Health and Aesthetics PC located?
- Revive Health and Aesthetics PC's practice location on file with NPPES is 294 N Main St, East Longmeadow, MA 01028-1838.
- What is Revive Health and Aesthetics PC's phone number?
- The practice phone number listed in the NPPES registry for Revive Health and Aesthetics PC is (413) 224-1009.
- Who is the authorized official for Revive Health and Aesthetics PC?
- The authorized official listed on Revive Health and Aesthetics PC's NPPES record is Adekunle Fajana, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Health and Aesthetics PC's NPI active?
- Yes — Revive Health and Aesthetics PC's NPI (1104644145) is active in the NPPES registry as of the last update on 2024-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.