Revive By Carolina, Inc
NPI 1194404574 · Infectious Disease Physician · Teaneck, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revive By Carolina, Inc is a Infectious Disease Physician organization in Teaneck, NJ (NPI 1194404574).
Provider details
- NPI number
- 1194404574
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sandres Martinez, Manager(201) 916-9544
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
Other names (DBA / former)
- Doing business as
- Jersey Hydreigth
Registry dates
- Enumerated
- 2023-07-13
- Last updated
- 2024-09-19
- Certified
- 2024-09-19
Frequently asked questions
- What is Revive By Carolina, Inc's NPI number?
- Revive By Carolina, Inc's National Provider Identifier (NPI) is 1194404574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive By Carolina, Inc?
- Revive By Carolina, Inc is classified in the NPPES registry as Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Revive By Carolina, Inc located?
- Revive By Carolina, Inc's practice location on file with NPPES is 1086 Teaneck Rd Ste 4f1, Teaneck, NJ 07666-4857.
- What is Revive By Carolina, Inc's phone number?
- The practice phone number listed in the NPPES registry for Revive By Carolina, Inc is (201) 916-9544.
- Does Revive By Carolina, Inc accept Medicare?
- Revive By Carolina, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revive By Carolina, Inc?
- The authorized official listed on Revive By Carolina, Inc's NPPES record is Sandres Martinez, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive By Carolina, Inc's NPI active?
- Yes — Revive By Carolina, Inc's NPI (1194404574) is active in the NPPES registry as of the last update on 2024-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.