Organization Active NPI

Arnold S Breitbart MD Facs PLLC

  • Plastic Surgery Physician
  • Manhasset, NY
National Provider Identifier
1609059849
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
ARNOLD S BREITBART MD FACS PLLC
Practice address
1155 Northern Blvd
Suite 110
Manhasset, NY 11030-3040
Phone
(516) 365-3511
Fax
(516) 365-3611
NPI assigned
Dec 11, 2007
Last updated
Apr 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Authorized official

Name
Arnold S Breitbart, M.D.NPI 1538255567
Title
Owner
Phone
(516) 365-3511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

1155 Northern Blvd
Suite 110
Manhasset, NY 11030-3040

Mailing address

1155 Northern Blvd
Suite 110
Manhasset, NY 11030-3040
Phone (516) 365-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051206000736 NY Part B Supplier - Clinic/Group Practice 0941220859 Receives reassigned benefits from 1 practitioner
Practice locations: Manhasset, NY; New Hyde Park, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

1155 Northern Blvd
Ste 110
Manhasset, NY 11030
Phone (516) 365-3511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365552000000",
    "number": "1609059849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 NORTHERN BLVD",
            "address_2": "SUITE 110",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303040",
            "telephone_number": "516-365-3511",
            "fax_number": "516-365-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 NORTHERN BLVD",
            "address_2": "SUITE 110",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303040",
            "telephone_number": "516-365-3511",
            "fax_number": "516-365-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNOLD S BREITBART MD FACS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "BREITBART",
        "authorized_official_first_name": "ARNOLD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-365-3511",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.