Revive Spine and Pain Center
NPI 1235674912 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Marlton, NJ
Revive Spine and Pain Center is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Marlton, NJ (NPI 1235674912).
Provider details
- NPI number
- 1235674912
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mike Nammour, Manager(856) 983-9001
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
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Additional practice locations (2)
- 555 Route 18 Ste 201East Brunswick, NJ 08816-3727Phone: (732) 955-9139Fax: (732) 387-8594
- 1245 Whitehorse Mercerville Rd Ste 407Hamilton, NJ 08619-3831Phone: (609) 581-2400Fax: (609) 581-2500
Registry dates
- Enumerated
- 2017-01-04
- Last updated
- 2024-01-31
- Certified
- 2024-01-31
Frequently asked questions
- What is Revive Spine and Pain Center's NPI number?
- Revive Spine and Pain Center's National Provider Identifier (NPI) is 1235674912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revive Spine and Pain Center?
- Revive Spine and Pain Center is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Revive Spine and Pain Center located?
- Revive Spine and Pain Center's practice location on file with NPPES is 1001 Lincoln Dr W Ste E, Marlton, NJ 08053-1534.
- What is Revive Spine and Pain Center's phone number?
- The practice phone number listed in the NPPES registry for Revive Spine and Pain Center is (856) 983-9001.
- Who is the authorized official for Revive Spine and Pain Center?
- The authorized official listed on Revive Spine and Pain Center's NPPES record is Mike Nammour, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revive Spine and Pain Center's NPI active?
- Yes — Revive Spine and Pain Center's NPI (1235674912) is active in the NPPES registry as of the last update on 2024-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.