Organization Active NPI

Ralph Breslaw MD PA

  • Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1154639417
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME77800 Issued in FL
Legal business name
RALPH BRESLAW MD PA
Practice address
229 George Bush Blvd
Delray Beach, FL 33444-4034
Phone
(561) 272-1234
Fax
(561) 274-2060
NPI assigned
Sep 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Ralph Breslaw, MD
Title
Pres
Phone
(561) 272-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME77800 FL Primary

Addresses

Primary practice location

229 George Bush Blvd
Delray Beach, FL 33444-4034

Mailing address

229 George Bush Blvd
Delray Beach, FL 33444-4034
Phone (561) 272-1234

Other identifiers 1

IdentifierTypeStateIssuer
300426100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1154639417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 GEORGE BUSH BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334444034",
            "telephone_number": "561-272-1234",
            "fax_number": "561-274-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 GEORGE BUSH BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334444034",
            "telephone_number": "561-272-1234",
            "fax_number": "561-274-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH BRESLAW MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "BRESLAW",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "561-272-1234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME77800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300426100",
            "state": "FL"
        }
    ],
    "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 Sep 21, 2010; 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.