Active NPI
Reserve Edler Services Inc.
- Community Health Worker
- New York, NY
National Provider Identifier
1669849436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Legal business name
- RESERVE EDLER SERVICES INC.
- Practice address
- 633 3Rd Ave
6TH Floor
New York, NY 10017-6706 - Phone
- (212) 871-5301
- Fax
- (212) 727-4351
- NPI assigned
- Aug 28, 2015
- Organization subpart
- Yes
- Parent organization
- FEDCAP REHABILITATION SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Karen Wegmann, CFO
- Title
- Chief Financial Officer
- Phone
- (212) 727-4214
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
633 3Rd Ave
6TH Floor
New York, NY 10017-6706
Mailing address
633 3Rd Ave
New York, NY 10017-6706
Phone (212) 727-4200
National Provider Directory
National Provider Directory- Part of
- Fedcap Rehabilitation Services Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440720000000",
"number": "1669849436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176706",
"telephone_number": "212-727-4200",
"fax_number": "212-727-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 3RD AVE",
"address_2": "6TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176706",
"telephone_number": "212-871-5301",
"fax_number": "212-727-4351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESERVE EDLER SERVICES INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FEDCAP REHABILITATION SERVICES, INC.",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A",
"authorized_official_last_name": "WEGMANN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "212-727-4214",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CFO"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.