Individual provider Active NPI

Debra L Breitman, DPM

  • Podiatrist
  • Lawrence, NY
National Provider Identifier
1285644344
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004366 Issued in NY
Practice address
135 Rockaway Tpke Ste 107
Lawrence, NY 11559-1023
Phone
(516) 239-7400
Fax
(516) 400-9039
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004366 NY Primary

Addresses

Primary practice location

135 Rockaway Tpke Ste 107
Lawrence, NY 11559-1023

Mailing address

135 Rockaway Tpke Ste 107
Lawrence, NY 11559-1023
Phone (516) 239-7400

Other identifiers 1

IdentifierTypeStateIssuer
01130836MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101118000547 NY Practitioner - Podiatry 1456547314 Practice locations: Lawrence, NY
O20140324002266 NY DME Supplier - Physician - Podiatry 9032340617 Practice locations: Lawrence, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

135 Rockaway Tpke
Suite 107
Lawrence, NY 11559-1023
Phone (516) 239-7400

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue744
Removal or shaving of skin growth430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004366NYMDPodiatrist
004366NYMDOccupational Therapy Assistant

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1285644344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ROCKAWAY TPKE STE 107",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591023",
            "telephone_number": "516-239-7400",
            "fax_number": "516-400-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ROCKAWAY TPKE STE 107",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591023",
            "telephone_number": "516-239-7400",
            "fax_number": "516-400-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITMAN",
        "first_name": "DEBRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01130836",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

Verify at the official NPI Registry.