Individual provider Active NPI

Peter J Breingan, MD

  • Ophthalmology Physician
  • Manhasset, NY
National Provider Identifier
1770568560
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
208022 Issued in NY
Practice address
1355 Northern Blvd Ste 300
Manhasset, NY 11030-3023
Phone
(516) 627-3232
Fax
(516) 365-1893
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 208022 NY Primary

Addresses

Primary practice location

1355 Northern Blvd Ste 300
Manhasset, NY 11030-3023

Mailing address

825 E Gate Blvd
Ste 111
Garden City, NY 11530-2124
Phone (212) 505-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707000950 NY Practitioner - Ophthalmology 7810974888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Consultants of Long IslandGroup PAC ID 8022909076, 107 clinicians

Practice addresses (Care Compare)

1355 Northern Blvd
Suite 300
Manhasset, NY 11030-3023
Phone (516) 627-3232

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
208022NYMDOphthalmology Physician

Practice roles (2 of 6)

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island Ophthalmology CurrentSince Oct 1, 2018 Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology PastSince Oct 1, 2018 Accepting new patients

Locations

4 Technology Dr
Ste 150
East Setauket, NY 11733
Phone (631) 941-1400

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

755 Park Ave
Ste 1
Huntington, NY 11743

755 Park Ave
Ste 100
Huntington, NY 11743
Phone (631) 223-0400

1700 E Jericho Tpke
Huntington, NY 11743
Phone (631) 462-2020

1355 Northern Blvd
Ste 300
Manhasset, NY 11030
Phone (516) 627-3232

132 E 76th St
Ofc 2D
New York, NY 10021
Phone (212) 505-2151

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

2000 N Village Ave
#13202
Rockville Ctr, NY 11570
Phone (516) 766-2519

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: peter.breinganmd.p1@direct.ocli.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1770568560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD",
            "address_2": "STE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302124",
            "telephone_number": "212-505-2151",
            "fax_number": "212-645-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 NORTHERN BLVD STE 300",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303023",
            "telephone_number": "516-627-3232",
            "fax_number": "516-365-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREINGAN",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "208022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.