Ted Brezel MD

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

162847 Issued in NY

Legal business name

TED BREZEL MD

Practice address

7959 Myrtle Ave
Glendale, NY 11385-7451

Phone

(718) 418-3041

Fax

(718) 418-3115

NPI assigned

Jun 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ted Brezel, M..D.NPI 1831152115

Title

Physician

Phone

(718) 418-3041

Specialties & licenses 1

Addresses

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ted Brezel, M.D.

  • Procedural Dermatology Physician
  • Glendale, NY
  • NPI 1831152115
  NPD (past) Authorized official
• Paul V. Benites, P.A.

  • Physician Assistant
  • Bronx, NY
  • NPI 1821190778
  NPD (past)
• Sourab Choudhury, DO

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1861453698
  NPD (past)
• Veronica Carmen Dinu, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Union, NJ
  • NPI 1699968743
  NPD (past)
• Christopher Bryant Kruse, M.D.

  • MOHS-Micrographic Surgery Physician
  • Red Bank, NJ
  • NPI 1083636898
  NPD (past)
• Rajit Bhoosa Malliah, M.D.

  • Dermatopathology (Pathology) Physician
  • Hackensack, NJ
  • NPI 1831341791
  NPD (past)
• Erin A O'Leary, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Fall River, MA
  • NPI 1255467833
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093910192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7959 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857451",
            "telephone_number": "718-418-3041",
            "fax_number": "718-418-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7959 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857451",
            "telephone_number": "718-418-3041",
            "fax_number": "718-418-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED BREZEL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BREZEL",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-418-3041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M..D."
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "162847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalena Sziffer
• Shihchun Tai, OD
• Marisa Tarantino
• Maria Teresa Taveras, LMSW
• Sarah Tawdrous
• Top Care Physical Therapy & Rehabilitation, P.C.
• Dorene Torres
• Trinity Barcing, Inc
• Trinity RX, Corp.
• Sonam Tsering, CRPA

• Procedural Dermatology Physician in Glendale, NY
• Providers in Glendale, NY by specialty
• Procedural Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.