Breast Reconstruction Center of New Jersey

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

25MA09752800 Issued in NJ

Legal business name

BREAST RECONSTRUCTION CENTER OF NEW JERSEY

Practice address

800A 5TH Ave Ste 300a
New York, NY 10065-7215

Phone

(212) 427-3982

Fax

(212) 452-4654

NPI assigned

May 17, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Keith Blechman, MDNPI 1386834828

Title

President

Phone

(212) 427-3982

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Michael Blechman, M.D.

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1386834828
  NPD Authorized official

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1477080760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800A 5TH AVE STE 300A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657215",
            "telephone_number": "212-427-3982",
            "fax_number": "212-452-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800A 5TH AVE STE 300A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657215",
            "telephone_number": "212-427-3982",
            "fax_number": "212-452-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST RECONSTRUCTION CENTER OF NEW JERSEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "BLECHMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-427-3982",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NJ",
            "license": "25MA09752800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Brea
• Jewel Breadmore, PA-C
• Devin Michael Bready, MD
• Breakaway Physical Therapy PLLC
• Sarah Breakstone, DPM
• Breastfeeding Support, Inc.
• Breathe Bloom Mental Health Counseling PLLC
• Breathe Licensed Clinical Social Work Services
• Breathe-Easy Pulmonary Home Care, Inc.
• Andrzej Krzysztof Breborowicz, M.D.

• Plastic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.