Jayvana R LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JAYVANA R LLC

Practice address

755 N Salina St
Syracuse, NY 13208-2510

Phone

(315) 455-9090

NPI assigned

Aug 22, 2023

Organization subpart

No

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

Authorized official

Name

Jayvana RuckerNPI 1215711064

Title

President

Phone

(315) 455-9090

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jayvana Rucker

  • Prosthetics Case Management
  • Syracuse, NY
  • NPI 1215711064
  NPD Authorized official

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1386428134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082510",
            "telephone_number": "315-455-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082510",
            "telephone_number": "315-455-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYVANA R LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "JAYVANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-455-9090"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ianna Javier Garcia, OTR/L
• Catherine Javier, MS CCC-SLP
• Dominic C Javier
• Edgar E Javier, PHARM. D
• Mohammed Jawed, M.D.
• JCR Medicine Canal Street PLLC
• Darline Jean-Gilles
• Julliana Jean-Mary, PA
• Patrice Kelsey Jean, M.S., CF-SLP
• Lauren Marie Jedrysik

• Durable Medical Equipment & Medical Supplies in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.