Revive Medtech LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

REVIVE MEDTECH LLC

Practice address

555 Broadhollow Rd Ste 305
Melville, NY 11747-5018

Phone

(631) 759-5655

Fax

(631) 759-5655

NPI assigned

Aug 6, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sanjeev Kumar

Title

Manager

Phone

(631) 759-5655

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1265356935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BROADHOLLOW RD STE 305",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475018",
            "telephone_number": "631-759-5655",
            "fax_number": "631-759-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BROADHOLLOW RD STE 305",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475018",
            "telephone_number": "631-759-5655",
            "fax_number": "631-759-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE MEDTECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-759-5655"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Melville, NY
• Providers in Melville, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.