Individual provider Active NPI

Redeana Umland, NP

  • Pediatric Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1700454972
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383248 Issued in NY
Practice address
2386 Jerome Ave
Bronx, NY 10468-6401
Phone
(718) 220-1771
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 383248 NY Primary

Addresses

Primary practice location

2386 Jerome Ave
Bronx, NY 10468-6401

Mailing address

2386 Jerome Ave
Bronx, NY 10468-6401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220427001098 NY Practitioner - Nurse Practitioner 8729475488 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NYU Langone Hospitals CurrentSince May 11, 2022 Accepting new patients
NYU Langone Hospitals CurrentSince May 11, 2022 Accepting new patients
NYU Langone Hospitals Current Accepting new patients
NYU Langone Hospitals Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

3000 Avenue X
Rm 105
Brooklyn, NY 11235

4305 7th Ave
Rm 101
Brooklyn, NY 11232
Phone (718) 854-6718

600 Kingston Ave
Rm H107
Brooklyn, NY 11203
Phone (347) 425-1317

544 7th Ave
Rm 103
Brooklyn, NY 11215
Phone (718) 788-4482

309 47th St
Rm 131
Brooklyn, NY 11220

4812 9th Ave
Rm 115
Brooklyn, NY 11220
Phone (718) 853-3028

3314 Neptune Ave
Rm 101J
Brooklyn, NY 11224

71 Sullivan St
Rm 130
Brooklyn, NY 11231
Phone (718) 643-9408

180 6th Ave
Rm 138
Brooklyn, NY 11217
Phone (718) 230-5707

209 York St
Rm 104A
Brooklyn, NY 11201

215 Heyward St
Rm 240
Brooklyn, NY 11206

825 4th Ave
Rm 254
Brooklyn, NY 11232
Phone (718) 965-3529

2929 W 30th St
#329
Brooklyn, NY 11224

427 38th St
Rm 115
Brooklyn, NY 11232

330 59th St
Rm 123
Brooklyn, NY 11220
Phone (718) 492-1467

231 Palmetto St
Rm 123
Brooklyn, NY 11221

911 Flatbush Ave
Rm BS14
Brooklyn, NY 11226

1700 Fulton St
Rm 104A
Brooklyn, NY 11213

4004 4th Ave
Rm 159
Brooklyn, NY 11232
Phone (718) 965-0118

6565 Flatlands Ave
Rm C150
Brooklyn, NY 11236
Phone (718) 968-4261

511 7th Ave
Rm 261
Brooklyn, NY 11215
Phone (718) 788-6572

5010 6th Ave
Rm 104A
Brooklyn, NY 11220

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1700454972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2386 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104686401",
            "telephone_number": "718-220-1771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMLAND",
        "first_name": "REDEANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.