Active NPI
Breathe360 LLC
- Pulmonary Disease Physician
- Elkton, MD
National Provider Identifier
1003635327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- BREATHE360 LLC
- Practice address
- 107 N Bridge St
Elkton, MD 21921-5326 - Phone
- (443) 499-4005
- NPI assigned
- Oct 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Naveed Hasan
- Title
- Owner
- Phone
- (443) 499-4005
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
107 N Bridge St
Elkton, MD 21921-5326
Mailing address
1400 Peoples PLZ Ste 124
Newark, DE 19702-5706
Phone (443) 499-4005
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/CHHDDD
- https://api.platform.athenahealth.com/20922/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1003635327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 PEOPLES PLZ STE 124",
"city": "NEWARK",
"state": "DE",
"postal_code": "197025706",
"telephone_number": "443-499-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 N BRIDGE ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215326",
"telephone_number": "443-499-4005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREATHE360 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-03",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "HASAN",
"authorized_official_first_name": "NAVEED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "443-499-4005"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.