Organization Active NPI

Breathe Easy Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Delray Beach, FL
National Provider Identifier
1083304729
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BREATHE EASY SUPPLY LLC
Practice address
1030 Wallace Dr Apt B
Delray Beach, FL 33444-4604
Phone
(561) 908-2876
NPI assigned
May 8, 2023
Last updated
May 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Jason John Dynan
Title
Chief Executive Officer
Phone
(954) 868-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1030 Wallace Dr Apt B
Delray Beach, FL 33444-4604

Mailing address

1030 Wallace Dr Apt B
Delray Beach, FL 33444-4604
Phone (561) 908-2876

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1083304729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 WALLACE DR APT B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334444604",
            "telephone_number": "561-908-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 WALLACE DR APT B",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334444604",
            "telephone_number": "561-908-2876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHE EASY SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "DYNAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "954-868-5535"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.