MEDICARE: REVLINE BILLING SOLUTIONS 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1346191525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REVLINE BILLING SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	2 KINDERKAMACK RD UNIT 115
Second Line	:
City	:	HACKENSACK
State	:	NJ
Zip	:	07601-4864
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	829 NW 113TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33168-2220
Country	:	US
Telephone Number	:	239-446-1679
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JAMES AHMAD MATHES
Credential	:
Telephone Number	:	239-446-1679

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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