Active NPI
Lewis Breslau, AUD
- Audiologist
- Rockville Centre, NY
National Provider Identifier
1043261944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 0009661
- Practice address
- 176 N Village Ave
Rockville Centre, NY 11570-3800 - Phone
- (516) 678-1804
- Fax
- (516) 678-0445
- NPI assigned
- May 15, 2006
- Last updated
- Nov 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0009661 | NY | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | 0009661 | NY | |
| Audiologist-Hearing Aid Fitter | 237600000X | 14000002408 | NY |
Addresses
Primary practice location
176 N Village Ave
Rockville Centre, NY 11570-3800
Mailing address
176 N Village Ave
Rockville Centre, NY 11570-3800
Phone (516) 221-2390
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8461006002 | Other | CIGNA | |
| 100189235701 | Other | NY | AMERICHOICE |
| 19697P | Other | NY | HIP |
| DS155 | Other | NY | OXFORD |
| 1892357 | Other | NY | UNITED HEALTHCARE |
| 112920413 | Other | NY | TAX ID |
| 500021 | Other | NY | AETNA NUMBER |
| 0036041 | Other | NY | GHI |
Other names 1
- Lewis Breslau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000966 | NY | MD | Behavioral Analyst |
| 0009661 | NY | MD | Audiologist-Hearing Aid Fitter |
| 14000002408 | NY | MD | Audiologist-Hearing Aid Fitter |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist
- Rockville Centre, NY
- NPI 1265627673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227139200000",
"number": "1043261944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 N VILLAGE AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703800",
"telephone_number": "516-221-2390",
"fax_number": "516-221-2395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 N VILLAGE AVE",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703800",
"telephone_number": "516-678-1804",
"fax_number": "516-678-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRESLAU",
"first_name": "LEWIS",
"credential": "AUD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2008-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "0009661",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "0009661",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "NY",
"license": "14000002408",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8461006002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "100189235701",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "19697P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "DS155",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1892357",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "112920413",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NUMBER",
"identifier": "500021",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0036041",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEWIS",
"last_name": "BRESLAU",
"credential": "AUD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.