Brendaly Rivera, OWNER

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

937250616 Issued in NY

Practice address

15 Chadduck Ave
Buffalo, NY 14207-1555

Phone

(716) 423-4080

NPI assigned

Mar 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1104402049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHADDUCK AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071555",
            "telephone_number": "716-423-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CHADDUCK AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142071555",
            "telephone_number": "716-423-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "BRENDALY",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "937250616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "937250616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Rittler
• Jessica Ritz
• Alejandro Rivera Valentin, DC
• Pedro J Rivera-Hernandez, MD
• Alexis Rivera
• Christina Rivera
• Deanna Frances Rivera, MA CCC-SLP
• Jasmine Natasia Rivera
• Joelle Amber Rivera, M.S,
• Lisa Denise Rivera, FNP

• Non-emergency Medical Transport (VAN) in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.