Organization Active NPI

Jerome S. Breslaw, M.D.,P.C.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1467645663
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
098889 Issued in NY
Legal business name
JEROME S. BRESLAW, M.D.,P.C.
Practice address
235 E 67TH St
202
New York, NY 10065-6040
Phone
(212) 628-5700
Fax
(212) 650-9964
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Jerome S Breslaw, M.D.
Title
President
Phone
(212) 628-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 098889 NY Primary

Addresses

Primary practice location

235 E 67TH St
202
New York, NY 10065-6040

Mailing address

235 E 67TH St
202
New York, NY 10065-6040

National Provider Directory

National Provider Directory

Locations

235 E 67th St
Rm 202
New York, NY 10065
Phone (212) 628-5700

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1467645663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E 67TH ST",
            "address_2": "202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E 67TH ST",
            "address_2": "202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656040",
            "telephone_number": "212-628-5700",
            "fax_number": "212-650-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME S. BRESLAW, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "BRESLAW",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-628-5700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "098889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.