MEDICARE: REVIVE HEALTH AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1386092989	OTHER		NPPES

General Provider Information

NPI Number	:	1093527954
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REVIVE HEALTH AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	3201 BRIDGE AVE
Second Line	:
City	:	POINT PLEASANT BORO
State	:	NJ
Zip	:	08742-3468
Country	:	US
Telephone Number	:	732-995-5285
Fax Number	:

Provider Business Practice Location Address
First Line	:	3201 BRIDGE AVE
Second Line	:
City	:	POINT PLEASANT BORO
State	:	NJ
Zip	:	08742-3468
Country	:	US
Telephone Number	:	732-995-5285
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JOSEPH MARCHITELLI
Credential	:	DC
Telephone Number	:	732-995-5285

Provider Enumeration Date	:	01/27/2025
Last Update Date	:	03/24/2026

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Directions to “REVIVE HEALTH AND WELLNESS LLC ” Practice Location

Language	Start Address	Practice Location

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