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Revive Spine and Pain Center

Pain Medicine (Physical Medicine & Rehabilitation) Physician in Marlton, NJ · enumerated 2017 · authorized official Mike Nammour, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235674912

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Registry record

Entity type Organization (Type 2)
Legal business name Revive Spine and Pain Center
Practice address 1001 Lincoln Dr W Ste E, Marlton, NJ, 08053
Fax (856) 983-9011
Enumeration date Jan 4, 2017
Last updated in NPPES Jan 31, 2024

Taxonomy & classification

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mike Nammour
Title Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Revive Spine and Pain Center?
The NPI for Revive Spine and Pain Center is 1235674912, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Revive Spine and Pain Center?
NPPES lists Mike Nammour (Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-31.