Organization Active NPI

Rntrepreneurb LLC

  • Clinic/Center
  • New City, NY
National Provider Identifier
1699500702
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RNTREPRENEURB LLC
Practice address
3 E Evergreen Rd
New City, NY 10956-5145
Phone
(516) 395-7154
NPI assigned
Sep 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Bria PatrickNPI 1063142123
Title
Owner
Phone
(516) 395-7154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3 E Evergreen Rd
New City, NY 10956-5145

Mailing address

3 E Evergreen Rd
New City, NY 10956-5145
Phone (516) 395-7154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250930000243 NY Part B Supplier - Clinic/Group Practice 8527564517 Receives reassigned benefits from 1 practitioner
Practice locations: New City, NY

National Provider Directory

National Provider Directory

Locations

3 E Evergreen Rd
New City, NY 10956
Phone (516) 395-7154

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1699500702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 E EVERGREEN RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565145",
            "telephone_number": "516-395-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E EVERGREEN RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565145",
            "telephone_number": "516-395-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RNTREPRENEURB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "BRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-395-7154"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.