Breathe360 LLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

BREATHE360 LLC

Practice address

1400 Peoples PLZ Ste 124
Newark, DE 19702-5706

Phone

(443) 499-4005

Fax

(833) 992-2106

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Naveed Hasan, MDNPI 1023274511

Title

Owner

Phone

(443) 499-4005

Specialties & licenses 1

Addresses

Other names 1

• Breathe360 Integrative Medicine Consultants Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Naveed Hasan, M.D.

  • Pulmonary Disease Physician
  • Newark, DE
  • NPI 1023274511
  Medicare reassignment Care Compare group Authorized official
• Dana C Fiori, PA-C

  • Physician Assistant
  • Dover, DE
  • NPI 1720311848
  Medicare reassignment Care Compare group
• Theodora Adadzewa Fynn, MD

  • Pulmonary Disease Physician
  • Elkton, MD
  • NPI 1205093804

  DE

  Medicare reassignment NPD
• Xzyla Downes

  • Physician Assistant
  • Dover, DE
  • NPI 1427544741
  Medicare reassignment
• Andrea Distefano, FNP-BC

  • Family Nurse Practitioner
  • Ponte Vedra Beach, FL
  • NPI 1639580236

  DE

  Medicare reassignment

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1962034918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PEOPLES PLZ STE 124",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025706",
            "telephone_number": "443-499-4005",
            "fax_number": "833-992-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PEOPLES PLZ STE 124",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025706",
            "telephone_number": "443-499-4005",
            "fax_number": "833-992-2106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 N Bridge St",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219215326",
            "country_code": "US",
            "telephone_number": "443-499-4005",
            "fax_number": "833-992-2106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREATHE360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-499-4005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breathe360 Integrative Medicine Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Braun, MS, CCC-SLP
• Erin Theresa Braxton, PA-C
• James D. Bray, DPM
• Brazen
• Sonya Koren Breakiron, PHLEBOTOMIST
• Keith Eric Bredemeier, PH.D.
• Frederic Breidenbach III
• James M Brennan, PT
• Martina Brennan
• Lauren Sydney Brenner, PA-C

• Pulmonary Disease Physician in Newark, DE
• Providers in Newark, DE by specialty
• Pulmonary Disease Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.