Ketarevive, Inc
NPI 1235977893 · Emergency Medicine Physician · Wyckoff, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketarevive, Inc is a Emergency Medicine Physician organization in Wyckoff, NJ (NPI 1235977893).
Provider details
- NPI number
- 1235977893
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Affortunato, Partner(516) 225-3336
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
1 yr 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
- 2024-07-17
- Last updated
- 2025-03-18
- Certified
- 2025-03-18
Frequently asked questions
- What is Ketarevive, Inc's NPI number?
- Ketarevive, Inc's National Provider Identifier (NPI) is 1235977893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketarevive, Inc?
- Ketarevive, Inc is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ketarevive, Inc located?
- Ketarevive, Inc's practice location on file with NPPES is 541 Cedar Hill Ave, Wyckoff, NJ 07481.
- What is Ketarevive, Inc's phone number?
- The practice phone number listed in the NPPES registry for Ketarevive, Inc is (201) 212-6735.
- Does Ketarevive, Inc accept Medicare?
- Ketarevive, 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 Ketarevive, Inc?
- The authorized official listed on Ketarevive, Inc's NPPES record is Joseph Affortunato, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketarevive, Inc's NPI active?
- Yes — Ketarevive, Inc's NPI (1235977893) is active in the NPPES registry as of the last update on 2025-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.