Michael H Rizkalla (NPI# 1477717791, PAC ID# 9335311752) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1477717791 |
| PAC ID by PECOS | 9335311752 |
| Professional Enrollment ID | I20111007000203 |
| Full Name | Michael H Rizkalla |
| Organization Legal Name | REVIVE SPINE AND PAIN CENTER |
| Address |
515 S Broad St Suite 201 Trenton NJ 08611-1819 |
| Phone Number | 6097779700 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Secondary Specialties | PAIN MANAGEMENT, SPORTS MEDICINE |
| Group Practice PAC ID | 4385928639 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7560 Red Bug Lake Rd, Suite 2014, Oviedo, FL 32765-6562 | 4079515833 | S O A R MEDICINE LLC |
| 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 | 6097779700 | REVIVE SPINE AND PAIN CENTER |
| Organization Legal Name | REVIVE SPINE AND PAIN CENTER |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alpa R Patel | Physician Assistant | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Monique Cecelia Gantier | Nurse Practitioner | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Steven Brooks | Physician Assistant | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Adam Saalfelder | Nurse Practitioner | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Street Address |
515 S BROAD ST SUITE 201 |
| City | TRENTON |
| State | NJ |
| Zip | 08611-1819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alpa R Patel | Physician Assistant | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Monique Cecelia Gantier | Nurse Practitioner | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Steven Brooks | Physician Assistant | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Adam Saalfelder | Nurse Practitioner | Revive Spine and Pain Center | 515 S Broad St, Suite 201, Trenton, NJ 08611-1819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary Ira Berkowitz | Psychologist, Clinical | 512 Union St, Trenton, NJ 08611-2800 | |
| Peter M Destefano | Cardiovascular Disease (cardiology) | 669 Chambers St, Suite A, Trenton, NJ 08611-3719 |
| City | TRENTON |
| Zip Code | 08611 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | TRENTON + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Michael H Rizkalla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.