Active NPI
Julie L Riedl Inc
Doing business as Fayetteville Health Products
- Dialysis Equipment & Supplies (DME)
- Fayetteville, NY
National Provider Identifier
1750876033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dialysis Equipment & Supplies (DME)
- Legal business name
- JULIE L RIEDL INC
- Doing business as
- Fayetteville Health Products
- Practice address
- 511 E Genesee St
Fayetteville, NY 13066-1524 - Phone
- (315) 637-2307
- Fax
- (315) 637-2308
- NPI assigned
- Jun 28, 2018
- Organization subpart
- Yes
- Parent organization
- -
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie L Riedl, LPN
- Title
- Owner
- Phone
- (315) 637-2307
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dialysis Equipment & Supplies (DME) | 332BD1200X | NY | Primary |
Addresses
Primary practice location
511 E Genesee St
Fayetteville, NY 13066-1524
Mailing address
511 E Genesee St
Fayetteville, NY 13066-1524
Phone (315) 637-2307
Other names 1
- Fayetteville Health Products
National Provider Directory
National Provider Directory- Part of
- Julie L Riedl Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Clinical Medical Laboratory
- Woodside, NY
- NPI 1356473375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1750876033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 E GENESEE ST",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661524",
"telephone_number": "315-637-2307",
"fax_number": "315-637-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E GENESEE ST",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130661524",
"telephone_number": "315-637-2307",
"fax_number": "315-637-2308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULIE L RIEDL INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "-",
"enumeration_date": "2018-06-28",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "RIEDL",
"authorized_official_first_name": "JULIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-637-2307",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "332BD1200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fayetteville Health Products",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fayetteville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.