Evan Breth, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

N005657 Issued in NY

Practice address

2352 Ralph Ave
Brooklyn, NY 11234-5515

Phone

(718) 251-0200

Fax

(718) 209-5697

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: evanbreth@mai.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Progressive Podiatry, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1073767190
  Medicare reassignment NPD Authorized official
• Progressive Podiatry, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Brooklyn, NY
  • NPI 1639305659
  NPD Authorized official
• Maimonides Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1093777492
  NPD
• Jeremiah M Gelles, MD PC

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1952723017
  NPD (past)
• Maimonides Cardiology FPP

  • Cardiovascular Disease Physician
  • Brooklyn, NY
  • NPI 1477803385
  NPD (past)
• United Medical Associates,PLLC

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1508994187
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1023097052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345515",
            "telephone_number": "718-251-0200",
            "fax_number": "718-209-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345515",
            "telephone_number": "718-251-0200",
            "fax_number": "718-209-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETH",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N005657",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N005657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02063578",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy M Bressendorff
• Stefania Marina Bressi
• Allen Marvin Bressler, D.D.S.
• Liat Bressler, M.S. CCC-SLP
• Michaella Bressler
• Ashley Nicole Breton
• Dominique Breton, OTR/L
• Susan Joanne Breton, PHD
• Sharon M Brett-Smith, MA
• Ada Brett

• Foot Surgery Podiatrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.