Organization Active NPI

Renovia Inc

  • Durable Medical Equipment & Medical Supplies
  • Boston, MA
National Provider Identifier
1528591773
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RENOVIA INC
Practice address
99 High St
Boston, MA 02110-2320
Phone
(617) 851-7093
Fax
(617) 439-9707
NPI assigned
Apr 5, 2017
Last updated
Apr 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Mrs. Stacey Williams
Title
Senior Director Reimbursement
Phone
(757) 560-8626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

99 High St
Boston, MA 02110-2320

Mailing address

99 High St
Boston, MA 02110-2320
Phone (617) 851-7093

National Provider Directory

National Provider Directory

Locations

99 High St
Boston, MA 02110
Phone (617) 367-5895

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1528591773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HIGH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102320",
            "telephone_number": "617-851-7093",
            "fax_number": "617-439-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HIGH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021102320",
            "telephone_number": "617-851-7093",
            "fax_number": "617-439-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR REIMBURSEMENT",
        "authorized_official_telephone_number": "757-560-8626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.