Edwrad Rabady

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

127 E State St
Gloversville, NY 12078-1204

Phone

(518) 364-0055

NPI assigned

Mar 17, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458172800000",
    "number": "1306207360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781204",
            "telephone_number": "518-364-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781204",
            "telephone_number": "518-364-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABADY",
        "first_name": "EDWRAD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy T Purtell
• Hannah Lindsay Putman, CCC-SLP
• Kayla E Putman, FNP
• Amy Lee Quackenbush, LPN
• Nancy Quinlan, RN,IBCLC
• Annabella Isabella Rahman
• Kelsey Marie Rajkowski
• Kamini S Ramani, M.D
• Amanda Reed, FNP-BC
• Carl R Reed, R.PH.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.