Kathleen Helen Breslin, NP-C
Individual provider Active NPI Family Nurse Practitioner · Berkeley Heights, NJ
NPI 1801265202 · NPPES record last updated Sep 16, 2015
Key facts
- NPI
- 1801265202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ00590600 (NJ)
- Practice address
- 1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104 - Phone
- (908) 977-9376
- NPI assigned
- Sep 16, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Georgetown University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Valley Physician Services PC
Practice addresses (Care Compare)
108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391
223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone (201) 447-8000
Hospital & facility affiliations
- Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151117001345 | NJ | Practitioner - Nurse Practitioner | 9436469780 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00590600 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Physician Services PC | Current |
Accepting new patients | |
| St. Joseph'S Healthcare, Inc. | Past | Accepting new patients |
Locations
947 Linwood Ave
Ste 1W
Ridgewood, NJ 07450
Phone (201) 444-5552
Interoperability endpoints
- kathleen.breslin.1@5622.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00590600 | NJ | Yes |
Addresses
Primary practice location
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Mailing address
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Other providers in Berkeley Heights, NJ
- John Paul Bouffard
- Carol G Boyer
- Jaclyn Brancato
- Michaela Brennan
- Robert Brenner
- Melissa Breslin
- Brighter Future Therapy, LLC
- Sarah H Brown
- William H. Brown
- Sarah Bryan
All providers in Berkeley Heights, NJ · Family Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.