Individual provider Active NPI

Mario Roberto Brezler, MD

  • Internal Medicine Physician
  • White Plains, NY
National Provider Identifier
1801850680
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
115845 Issued in NY
Practice address
2 Overlook Rd
Apt 3 a 6
White Plains, NY 10605-2442
Phone
(845) 893-1053
Fax
(815) 550-2166
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 115845 NY Primary

Addresses

Primary practice location

2 Overlook Rd
Apt 3 a 6
White Plains, NY 10605-2442

Mailing address

2 Overlook Rd
Apt 3 a 6
White Plains, NY 10605-2442
Phone (845) 893-1053

Other identifiers 1

IdentifierTypeStateIssuer
A74895OtherUPIN

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
115845NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asap Health Solutions Inc Internal Medicine Past Accepting new patients

Organizations & group practices 1

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1801850680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OVERLOOK RD",
            "address_2": "APT 3 A 6",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052442",
            "telephone_number": "845-893-1053",
            "fax_number": "815-550-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OVERLOOK RD",
            "address_2": "APT 3 A 6",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052442",
            "telephone_number": "845-893-1053",
            "fax_number": "815-550-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREZLER",
        "first_name": "MARIO",
        "middle_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "115845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "A74895",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.