Reliacare Alliance

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RELIACARE ALLIANCE

Doing business as

ReliaCare Alliance LLC

Practice address

63 Flushing Ave
Unit 299
Brooklyn, NY 11205-1005

Phone

(212) 956-9400

Fax

(718) 237-4000

NPI assigned

Sep 20, 2010

Organization subpart

No

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

Authorized official

Name

Mordechai Stein

Title

Manager Director

Phone

(212) 956-9400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ReliaCare Alliance LLC Doing business as

Locations

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1790093144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 LEE AVE",
            "address_2": "STE 876",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118919",
            "telephone_number": "212-956-9400",
            "fax_number": "718-237-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 FLUSHING AVE",
            "address_2": "UNIT 299",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051005",
            "telephone_number": "212-956-9400",
            "fax_number": "718-237-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIACARE ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_title_or_position": "MANAGER DIRECTOR",
        "authorized_official_telephone_number": "212-956-9400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5803778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReliaCare Alliance LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.