Sade S Riley

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

3168181 Issued in NY

Legal business name

SADE S RILEY

Practice address

111 Villas Dr
Medford, NY 11763-2136

Phone

(631) 392-0985

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Miss Sade Sophia RileyNPI 1669803318

Title

Licensed Practical Nurse

Phone

(631) 317-3379

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sade S. Riley, LPN.,

  • Licensed Practical Nurse
  • Medford, NY
  • NPI 1669803318
  NPD (past) Authorized official

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1306277306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 VILLAS DR",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632136",
            "telephone_number": "631-392-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VILLAS DR",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632136",
            "telephone_number": "631-392-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SADE S RILEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "SADE",
        "authorized_official_middle_name": "SOPHIA",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "631-317-3379",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "3168181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giuseppina M Russo, OD
• Michael Ryder, D.O.
• S. H. Laufer Vision World
• Eileen M Sabella
• Christopher Sabia, LCSW-R
• Salamone Corp
• Sam'S Club Optical
• Nemie Samnauth
• Ronald Sampson Jr., LDO
• Sams East Inc

• Home Health Agency in Medford, NY
• Providers in Medford, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.