KEITH BREGLIO (NPI# 1922277813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922277813 |
Entity Type | Individual |
Full Name | KEITH BREGLIO |
Credential | M.D. |
Practice Address |
260 E Middle Country Rd Ste 107 Smithtown NY 11787 |
Mailing Address |
100 Nicolls Road Hsc Level 11, Rm 080 Stony Brook NY 11794-8111 |
Practice Telephone | 6319797222 |
Practice Fax Number | 6312657518 |
Mailing Telephone | 6314448115 |
Mailing Fax Number | 6314446045 |
Enumeration Date | 2008-02-25 |
Last Update Date | 2019-07-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 236168 | NY | Allopathic & Osteopathic Physicians |
Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
236168 | NY | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1 Gustave L Levy Pl, Box 1200, New York, NY 100296500 | 2122415415 |
Street Address |
260 E MIDDLE COUNTRY RD STE 107 |
City | SMITHTOWN |
State | NY |
Zip Code | 11787 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780971515 | Jessica M Cohn | Pediatrics | 260 E Middle Country Rd Ste 107, Smithtown, NY 11787 | 2011-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
Find all providers in zip 11787 |
Taxonomy Code | 2080P0206X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Gastroenterology |
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346710977 | Ari J Bergwerk | Pediatrics | Apt #4b 305 Riverside Drive, New York, NY 10025 | 2018-11-27 |
1306227525 | Karine Amirikian | Pediatrics | 3415 Bainbridge Ave Fl 7, Bronx, NY 10467 | 2015-06-12 |
1407198120 | Elizabeth Anne Nofi Berg | Pediatrics | 622 W 168th St Ph 17, New York, NY 10032-3720 | 2013-03-20 |
1316289093 | Anastasia Rigas | Pediatrics | 18 Blueberry Ridge Rd, Setauket, NY 11733-1504 | 2013-03-20 |
1366700874 | Dominique Drummond Bailey | Pediatrics | 630 W. 168th Street - Chn 517, Columbia University Medical Center, New York, NY 10032 | 2012-05-03 |
1235404559 | Judy Rose Dayan | Pediatrics | 990 E 22nd St, Brooklyn, NY 11210-3610 | 2012-03-20 |
1922386994 | Aamer Imdad | Pediatrics | 725 Irving Ave Suite 504, Syracuse, NY 13210 | 2011-07-25 |
1982908786 | Eileen Mcvey | Pediatrics | 503 Grasslands Rd Ste 201, Valhalla, NY 10595-1593 | 2011-01-07 |
1649404260 | Colleen Ann Nugent | Pediatrics | 239 Bryant Str, Women and Children's Hospital of Buffalo, Buffalo, NY 14222 | 2009-05-11 |
1457546582 | Babu S Bangaru | Pediatrics | 9422 59th Ave, Elmhurst, NY 11373-5151 | 2007-09-12 |
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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.