NPIMap

Organization Active NPI

Breslow Center for Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Paramus, NJ
National Provider Identifier
1689896664
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
25MA07627100 Issued in NJ
Legal business name
BRESLOW CENTER FOR PLASTIC SURGERY
Practice address
1 W Ridgewood Ave
Suite 110
Paramus, NJ 07652-2359
Phone
(201) 444-9522
Fax
(201) 444-9277
NPI assigned
May 2, 2007
Last updated
May 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Gary D. Breslow, M.D.NPI 1861461212
Title
President
Phone
(201) 444-9522

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 and Reconstructive Surgery Physician 2086S0122X 25MA07627100 NJ Primary

Addresses

Primary practice location

1 W Ridgewood Ave
Suite 110
Paramus, NJ 07652-2359

Mailing address

1 W Ridgewood Ave
Suite 110
Paramus, NJ 07652-2359
Phone (201) 444-9522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050524000056 NJ Part B Supplier - Clinic/Group Practice 0547202244 Receives reassigned benefits from 4 practitioners
Practice locations: Paramus, NJ

National Provider Directory

National Provider Directory

Locations

1 W Ridgewood Ave
Ste 110
Paramus, NJ 07652
Phone (201) 444-9522

Practitioners & affiliated clinicians

Practitioners 9

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1689896664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "address_2": "SUITE 110",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-444-9522",
            "fax_number": "201-444-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W RIDGEWOOD AVE",
            "address_2": "SUITE 110",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522359",
            "telephone_number": "201-444-9522",
            "fax_number": "201-444-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRESLOW CENTER FOR PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "BRESLOW",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-444-9522",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NJ",
            "license": "25MA07627100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.