Active NPI
Breaks N Braces, Inc.
- Durable Medical Equipment & Medical Supplies
- Melville, NY
National Provider Identifier
1225491079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BREAKS N BRACES, INC.
- Practice address
- 395 N Service Rd Ste 310
Melville, NY 11747-3143 - Phone
- (631) 223-4070
- Fax
- (631) 963-3900
- NPI assigned
- Mar 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Leonovich
- Title
- President
- Phone
- (631) 223-4070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
395 N Service Rd Ste 310
Melville, NY 11747-3143
Mailing address
395 N Service Rd Ste 310
Melville, NY 11747-3143
Phone (631) 223-4070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100152039 | Other | NY | NEW YORK STATE VENDOR ID |
| 2095698-DCA | Other | NY | NYC DEPARTMENT OF CONSUMER AFFAIRS |
National Provider Directory
National Provider DirectoryLocations
395 N Service Rd
Ste 310
Melville, NY 11747
Phone (631) 223-4070
999 Walt Whitman Rd
Ste 201
Melville, NY 11747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595808000000",
"number": "1225491079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 N SERVICE RD STE 310",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473143",
"telephone_number": "631-223-4070",
"fax_number": "631-963-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 N SERVICE RD STE 310",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473143",
"telephone_number": "631-223-4070",
"fax_number": "631-963-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREAKS N BRACES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-30",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A",
"authorized_official_last_name": "LEONOVICH",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-223-4070"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE VENDOR ID",
"identifier": "1100152039",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYC DEPARTMENT OF CONSUMER AFFAIRS",
"identifier": "2095698-DCA",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.