Organization Active NPI

Julie L Riedl Inc

Doing business as Fayetteville Health Products

  • Dialysis Equipment & Supplies (DME)
  • Fayetteville, NY
National Provider Identifier
1750876033
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dialysis Equipment & Supplies (DME)Taxonomy code 332BD1200X
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
-As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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 Doing business as

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.

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.

Verify at the official NPI Registry.