Individual provider Active NPI

Lisa Breslauer, M.D.

  • Dermatology Physician
  • Chatham, NJ
National Provider Identifier
1780779207
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA07719400 Issued in NJ
Practice address
417 Main St
Chatham, NJ 07928-2105
Phone
(973) 635-5050
Fax
(973) 635-4567
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA07719400 NJ Primary

Addresses

Primary practice location

417 Main St
Chatham, NJ 07928-2105

Mailing address

417 Main St
Chatham, NJ 07928-2105
Phone (973) 635-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20040907000450 NJ Practitioner - Dermatology 4880586346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Columbia University College of Physicians and Surgeons, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Laser and Skin Therapeutics PCGroup PAC ID 9234224874, 4 clinicians

Practice addresses (Care Compare)

417 Main St
Chatham, NJ 07928-2105
Phone (973) 635-5050

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions60
Removal or shaving of skin growth1-10
Skin biopsy60

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07719400NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laser & Skin Therapeutics PC Dermatology CurrentSince Mar 5, 2007 Accepting new patients
Chatham Chiropractic Center PastSince Mar 5, 2007 Accepting new patients

Locations

417 Main St
Chatham, NJ 07928
Phone (973) 635-2290

Interoperability endpoints

  • Direct secure messaging: lbreslauer@directaddress.net

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1780779207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282105",
            "telephone_number": "973-635-5050",
            "fax_number": "973-635-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MAIN ST",
            "city": "CHATHAM",
            "state": "NJ",
            "postal_code": "079282105",
            "telephone_number": "973-635-5050",
            "fax_number": "973-635-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESLAUER",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA07719400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, NJ

Sources for this page

Verify at the official NPI Registry.