Redivan Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

37792 Issued in NY

Legal business name

REDIVAN INC

Practice address

69 Beethoven St
Binghamton, NY 13905-4233

Phone

(607) 760-8013

Fax

(607) 217-5397

NPI assigned

Jul 17, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Sarah Elizabeth Jackson

Title

President

Phone

(607) 235-9112

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279324800000",
    "number": "1679886782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 BEETHOVEN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054233",
            "telephone_number": "607-760-8013",
            "fax_number": "607-217-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 BEETHOVEN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054233",
            "telephone_number": "607-760-8013",
            "fax_number": "607-217-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDIVAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-17",
        "last_updated": "2010-07-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-235-9112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "37792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadija Raza, MD
• Joseph A Readling, MD
• Andrea Reale
• Michelle L. Rease, GRNA
• Varudhini Gaddum Reddy, MD
• Emily Reed, LMSW
• Elizabeth Dillon Reeves, PT, MPT
• Jerelyn Renae Reeves, LPN
• Lydia J Regan, PA-C
• Regional Health Transport, LLC

• Non-emergency Medical Transport (VAN) in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2010; 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.