Revive Medical Group PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

REVIVE MEDICAL GROUP PC

Practice address

1136 Clifton Ave FL 1
Clifton, NJ 07013-3622

Phone

(862) 249-1266

Fax

(201) 984-2185

NPI assigned

Aug 5, 2026

Last updated

Aug 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Muhammad Farhan Ijaz, MDNPI 1235402967

Title

President

Phone

(551) 486-1385

Specialties & licenses 8

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Muhammad Farhan Ijaz, MD

  • Internal Medicine Physician
  • Clifton, NJ
  • NPI 1235402967
  NPD (past) Authorized official
• Karina Khulkar Shariff, MSN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Linden, NJ
  • NPI 1801620695
  NPD (past)
• Sandra Kasumovic, PA-C

  • Medical Physician Assistant
  • Caldwell, ID
  • NPI 1780009506
  NPD (past)

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1275457038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 W SADDLE RIVER RD",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581626",
            "telephone_number": "551-486-1385",
            "fax_number": "201-984-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLIFTON AVE FL 1",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133622",
            "telephone_number": "862-249-1266",
            "fax_number": "201-984-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "IJAZ",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "FARHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "551-486-1385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliance Anesthesia Services LLC
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• Gene Resnick, DMD
• Joseph David Retik, LPC, CCH
• Nikil R Revuri, MD
• Rey Medicine PC (Clifton Comprehensive Medical Center)
• Ricardo Rey, M.D.
• Boris Reydel
• Emmanuel Reyes, MD

• Orthopaedic Surgery Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Orthopaedic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.