BRESLOW CENTER FOR PLASTIC SURGERY (NPI# 1689896664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689896664 |
Entity Type | Organization |
Organization Name | BRESLOW CENTER FOR PLASTIC SURGERY |
Practice Address |
1 W Ridgewood Ave Suite 110 Paramus NJ 07652-2359 |
Practice Telephone | 2014449522 |
Practice Fax Number | 2014449277 |
Mailing Telephone | 2014449522 |
Mailing Fax Number | 2014449277 |
Enumeration Date | 2007-05-02 |
Last Update Date | 2008-05-06 |
Authorized Official Name | GARY D. BRESLOW (PRESIDENT) |
Authorized Official Telephone | 2014449522 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
25MA07627100 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
1 W RIDGEWOOD AVE SUITE 110 |
City | PARAMUS |
State | NJ |
Zip Code | 07652-2359 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417953902 | Rajnik W Raab | Neurological Surgery | 1 W Ridgewood Ave, Ste 208, Paramus, NJ 07652-2350 | 2005-06-21 |
1992217616 | Pathik Tuhin Suvarnakar | Pharmacist | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2017-11-03 |
1891243606 | Hemin Vaidya | Pharmacist | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2016-09-21 |
1215383443 | Alison Elizabeth Cooper | Nurse Practitioner | 1 W Ridgewood Ave, Suite 106, Paramus, NJ 07652 | 2016-05-06 |
1952769960 | Geriatrics and Internal Medicine Associates of Northeast LLC | Internal Medicine | 1 W Ridgewood Ave, Suite 203, Paramus, NJ 07652-2359 | 2016-02-04 |
1588034078 | Cityscape Anesthesia Pllc | Anesthesiology | 1 W Ridgewood Ave, Suite G03, Paramus, NJ 07652-2359 | 2015-09-28 |
1194121814 | Kyle Christopher D'amico | Physical Medicine & Rehabilitation | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2014-11-06 |
1659799328 | Bergen Gastroenterology PC | Non-Pharmacy Dispensing Site | 1 W Ridgewood Ave, Suite 301, Paramus, NJ 07652-2359 | 2014-03-31 |
1508298241 | Alpha Diagnostic of New Jersey LLC | Radiology | 1 W Ridgewood Ave, Suite G01-g02, Paramus, NJ 07652-2359 | 2013-08-05 |
1194061168 | Rakesh Patel Md PC | Specialist | 1 W Ridgewood Ave, Suite 106, Paramus, NJ 07652-2359 | 2012-12-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
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Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134494917 | Torsiello Plastic Surgery and Wound Care LLC | Surgery | 30 W Century Rd, Suite 240, Paramus, NJ 07652-1433 | 2012-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356805402 | Sr Plastic Surgery PC | Surgery | 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816 | 2019-01-23 |
1639655871 | Center for Plastic Cosmetic and Hand Surgery PC | Surgery | 127 Church Rd Ste 100, Marlton, NJ 08053-9402 | 2018-07-11 |
1265745111 | Jain Joseph | Surgery | 1 Diamond Hill Rd Fl 1, Berkeley Heights, NJ 07922 | 2010-07-21 |
1669631362 | Atlantic Plastic and Hand Surgery, Pa | Surgery | 2 Route 27, Suite 508, Edison, NJ 08820-3961 | 2008-06-06 |
1588877823 | Metamorphosis Plastic Surgery | Surgery | 42 Brook Drive South, New Vernon, NJ 07976 | 2007-05-07 |
1790824589 | Michael Rosen Md PC | Surgery | 1114 Hooper Ave, Toms River, NJ 08753-8325 | 2007-02-06 |
1447319777 | Paul H Rosenberg | Surgery | 1567 Palisade Ave 3rd Floor, Fort Lee, NJ 07024-6923 | 2006-12-06 |
1982783890 | John Mesa | Surgery | 200 S Orange Ave Ste 255, Livingston, NJ 07039 | 2006-11-02 |
1538264676 | Jamsheed Khodadad Najmi | Surgery | 8 Woodstock Ln, Annandale, NJ 08801-3425 | 2006-09-13 |
1790893998 | Paul Joseph Vallone | Surgery | 369 West Blackwell St, Dover, NJ 07801-2545 | 2006-08-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.