Reva, Inc.

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

406 Issued in FL

Legal business name

REVA, INC.

Practice address

2101 W Commercial Blvd Ste 5100
Fort Lauderdale, FL 33309-3055

Phone

(954) 730-9300

Fax

(888) 422-5785

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stuart Hayman

Title

President

Phone

(954) 776-2776

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Joshua Andreas Jeno Haggenmacher, MD

  • Internal Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1649920190
  NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1568580926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 NW 51ST PL",
            "address_2": "HANGAR 73",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333092755",
            "telephone_number": "954-730-9300",
            "fax_number": "888-422-5785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W COMMERCIAL BLVD STE 5100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093055",
            "telephone_number": "954-730-9300",
            "fax_number": "888-422-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "HAYMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-776-2776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "FL",
            "license": "406",
            "primary": true
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Retina Vitreous Consultants
• Retrogenics LLC
• Lori Ellen Retterath
• Roderic Rettig, ARNP
• Danielle Reuben
• Thomas Jackson Reves
• Franciscarolina Revete Chiquito
• Antonio G Revilla Jr., MD
• Donald Ray Revis II, MD
• Reviv Spa LLC

• Air Ambulance in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Air Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.