Organization Active NPI

North Shore Pulmonary Associates, PC

  • Pulmonary Disease Physician
  • Lake Success, NY
National Provider Identifier
1770530628
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
NORTH SHORE PULMONARY ASSOCIATES, PC
Practice address
6 Ohio Drive
Suite 201
Lake Success, NY 11042-1129
Phone
(516) 328-8700
Fax
(516) 224-1540
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Dr. David M. Breidbart, MD
Title
President
Phone
(516) 328-8700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

6 Ohio Drive
Suite 201
Lake Success, NY 11042-1129

Mailing address

6 Ohio Drive
Suite 201
Lake Success, NY 11042-1129
Phone (516) 328-8700

National Provider Directory

National Provider Directory

Locations

6 Ohio Dr
Ste 201
New Hyde Park, NY 11042
Phone (516) 328-8700

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1770530628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OHIO DRIVE",
            "address_2": "SUITE 201",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421129",
            "telephone_number": "516-328-8700",
            "fax_number": "516-224-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OHIO DRIVE",
            "address_2": "SUITE 201",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421129",
            "telephone_number": "516-328-8700",
            "fax_number": "516-224-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PULMONARY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "BREIDBART",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-328-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.