Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Revital Retreat, LLC

Health Service Clinic/Center in Piscataway, NJ · enumerated 2022 · authorized official Evelyn Javier, Advance Practice Nurse/ Owner.

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

National Provider Identifier

1366169989

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Registry record

Entity type Organization (Type 2)

Legal business name Revital Retreat, LLC

Practice address 371 Hoes Ln Ste 200, Piscataway, NJ, 08854

Phone (732) 660-8029

Fax (732) 358-2921

Enumeration date Oct 25, 2022

Last updated in NPPES Oct 25, 2022

Taxonomy & classification

261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Evelyn Javier

Title Advance Practice Nurse/ Owner

Phone (732) 589-9388

Other identifiers

Identifier	Type	State	Issuer
1881653608	Medicaid	NJ	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-10-25. Verify at npiregistry.cms.hhs.gov.

Where is Revital Retreat, LLC located?

The practice location on file with NPPES is in Piscataway, NJ.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-25.