Revived Medical Ipa LLC
NPI 1912644972 · Psychiatry Physician · Brooklyn, NY
Revived Medical Ipa LLC is a Psychiatry Physician organization in Brooklyn, NY (NPI 1912644972).
Provider details
- NPI number
- 1912644972
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ilya Kiblitsky, Sole Member(917) 584-1409
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
- 2022-05-19
- Last updated
- 2022-05-19
- Certified
- 2022-05-19
Frequently asked questions
- What is Revived Medical Ipa LLC's NPI number?
- Revived Medical Ipa LLC's National Provider Identifier (NPI) is 1912644972, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revived Medical Ipa LLC?
- Revived Medical Ipa LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Revived Medical Ipa LLC located?
- Revived Medical Ipa LLC's practice location on file with NPPES is 1329 E 17th St, Brooklyn, NY 11230-6052.
- What is Revived Medical Ipa LLC's phone number?
- The practice phone number listed in the NPPES registry for Revived Medical Ipa LLC is (917) 584-1409.
- Who is the authorized official for Revived Medical Ipa LLC?
- The authorized official listed on Revived Medical Ipa LLC's NPPES record is Ilya Kiblitsky, Sole Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revived Medical Ipa LLC's NPI active?
- Yes — Revived Medical Ipa LLC's NPI (1912644972) is active in the NPPES registry as of the last update on 2022-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.