Active NPI
Zachary James Breland, LMSW
- Social Worker
- Jamaica, NY
National Provider Identifier
1700507944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 116904-01
- Practice address
- 18730 Grand Central Pkwy
Jamaica, NY 11432-5819 - Phone
- (718) 264-2931
- NPI assigned
- Sep 7, 2022
- Last updated
- Sep 7, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 116904-01 | NY | Primary |
Addresses
Primary practice location
18730 Grand Central Pkwy
Jamaica, NY 11432-5819
Mailing address
2426 Bayview Ave
Wantagh, NY 11793-4348
Phone (718) 877-0532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116904-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1700507944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2426 BAYVIEW AVE",
"city": "WANTAGH",
"state": "NY",
"postal_code": "117934348",
"telephone_number": "718-877-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18730 GRAND CENTRAL PKWY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325819",
"telephone_number": "718-264-2931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRELAND",
"first_name": "ZACHARY",
"middle_name": "JAMES",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-07",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "116904-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.