DR. EVAN BRETH (NPI# 1023097052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023097052 |
| Entity Type | Individual |
| Full Name | DR. EVAN BRETH |
| Credential | DPM |
| Practice Address |
2352 Ralph Ave Brooklyn NY 11234-5515 |
| Practice Telephone | 7182510200 |
| Practice Fax Number | 7182095697 |
| Mailing Telephone | 7182510200 |
| Mailing Fax Number | 7182095697 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2008-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
N005657 | NY | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N005657 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02063578 | 05 |
| Street Address |
2352 RALPH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073767190 | Progressive Podiatry, Pllc | Podiatrist | 2352 Ralph Ave, Brooklyn, NY 11234-5515 | 2008-11-17 |
| 1770758922 | Dr. Weiner & Dr. Gallo Medical Practice Pllc | Family Medicine | 2352 Ralph Ave, Brooklyn, NY 11234-5515 | 2008-04-29 |
| 1841270444 | Robert Ira Weiner | Internal Medicine | 2352 Ralph Ave, Brooklyn, NY 11234-5515 | 2006-01-19 |
| 1750360368 | Dawn Marie Gallo | Family Medicine | 2352 Ralph Ave, Brooklyn, NY 11234-5515 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184135568 | Active Podiatry Pllc | Podiatrist | 149 Marine Ave Apt La, Brooklyn, NY 11209-7712 | 2017-10-12 |
| 1104277185 | Zhi Q Huang | Podiatrist | 2130 E 24th St, First Floor, Brooklyn, NY 11229-4902 | 2016-06-30 |
| 1629452164 | Sm Gulzar Hossain | Podiatrist | 850 Monroe Street. Apt 1, Brooklyn, NY 11221 | 2015-07-15 |
| 1386069706 | Jobin Abraham Danesh | Podiatrist | 1821 E 19th St, Brooklyn, NY 11229-3500 | 2014-02-21 |
| 1356789820 | Fejzo Cecunjanin | Podiatrist | 1245 50th St Apt 4k, Brooklyn, NY 11219-3562 | 2013-06-06 |
| 1659630580 | Charles M Edelstein | Podiatrist | 1424 50th St, Brooklyn, NY 11219 | 2012-05-12 |
| 1134419336 | Regina Joyce Haygood | Podiatrist | 2343 Batchelder St, Apt 5f, Brooklyn, NY 11229-5377 | 2011-04-10 |
| 1982836334 | Sherry Shahrzad Nazarian D.p.m. P.C. | Podiatrist | 2083 E 53rd Pl, Brooklyn, NY 11234-4710 | 2009-08-19 |
| 1376771170 | Irina Pechalidi | Podiatrist | 576 Avenue Z Apt 3d, Brooklyn, NY 11223-6150 | 2009-06-30 |
| 1962648204 | Dr Lawrence & Ira Cohen | Podiatrist | 1542 Remsen Ave, Brooklyn, NY 11236-5251 | 2008-12-16 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.