Jessica Breitweg, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

067330 Issued in NY

Practice address

4621 Sunrise Hwy
Bohemia, NY 11716-4605

Phone

(631) 567-1061

NPI assigned

Jan 19, 2021

Sex

Female

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2021.

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1629668124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 SUNRISE HWY",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 SUNRISE HWY",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164605",
            "telephone_number": "631-567-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITWEG",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "067330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Marie Bolger, M.S. LMHC
• Brenda Bottigliere
• Peter Ralph Bourque Jr., MS, APRN, PMHNP-BC
• Amy Bouziotis, MHC
• Nancy Lynn Bowden, NP, CNM
• Bright Bay Medical PLLC
• Brookview Medical Associates, PLLC
• Jill Brown, LCSW-R
• Kaitlyn F Brown, OTR/L
• Jennifer L Bruno, MS CCC SLP

• All providers in Bohemia, NY
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.