Individual provider Active NPI

Leslie Breiten, MD

  • Gynecology Physician
  • Oneonta, NY
National Provider Identifier
1508862889
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
196604-1 Issued in NY
Practice address
460 Main St
Oneonta
Oneonta, NY 13820-2027
Phone
(607) 433-0277
Fax
(607) 432-1184
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 196604-1 NY Primary

Addresses

Primary practice location

460 Main St
Oneonta
Oneonta, NY 13820-2027

Mailing address

460 Main St
Oneonta
Oneonta, NY 13820-2027
Phone (607) 433-0277

Other identifiers 1

IdentifierTypeStateIssuer
10024786OtherCDPHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080214000559 NY Practitioner - Obstetrics/Gynecology 2567494404 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
196604-1NYMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince May 1, 2017 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince May 1, 2017 Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

1 Foxcare Dr
Ste 303
Oneonta, NY 13820
Phone (607) 431-2131

460 Main St
Ste 1
Oneonta, NY 13820
Phone (607) 433-0277

460 Main St
Oneonta, NY 13820
Phone (607) 432-4477

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1508862889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MAIN ST",
            "address_2": "ONEONTA",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202027",
            "telephone_number": "607-433-0277",
            "fax_number": "607-432-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MAIN ST",
            "address_2": "ONEONTA",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202027",
            "telephone_number": "607-433-0277",
            "fax_number": "607-432-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITEN",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "196604-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10024786",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.