Rejuvenate LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

REJUVENATE LLC

Practice address

6516 Gunn Hwy
Tampa, FL 33625-4022

Phone

(813) 305-0436

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Hani Rayess, M.D.NPI 1760800742

Title

Owner

Phone

(949) 302-0363

Specialties & licenses 2

Addresses

Other names 1

• Rejuvenate the face Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hani Rayess, MD

  • Otolaryngology Physician
  • Tampa, FL
  • NPI 1760800742
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622678400000",
    "number": "1295316743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254022",
            "telephone_number": "813-800-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254022",
            "telephone_number": "813-305-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A",
        "authorized_official_last_name": "RAYESS",
        "authorized_official_first_name": "HANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-302-0363",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rejuvenate the face",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rejuvenate the face",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martina A Reiss, MD
• Grace Anne-Margaret Reitz
• Anjana Reji, DO
• Denise Diane Rejonis, CCC/SLP
• Richard John Rejonis II, MOT
• Rejuvenation Center LLC
• Rejuvenx of Tampa LLC
• Reliance Healthcare Management Solutions, LLC
• Reliance Home Care, LLC
• Reliance Pathology Partners, LLC

• Otolaryngology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.