DR. SETH ILIAS BREITBART M.D.
NPI 1124266986
Internal Medicine in Englewood, NJ

Q: What is Seth Breitbart's NPI number?

The NPI number for Seth Breitbart is 1124266986. It was assigned to this individual provider in the NPPES registry on January 31, 2009.

Q: What is Seth Breitbart's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Seth Breitbart was last updated on September 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 31, 2009PECOS EnrolledAccepts Medicare Assignment

98.67/100

CMS Quality Rating

350 ENGLE STREET, ENGLEWOOD, NJ 07631(201) 894-3364(201) 894-5693 Get Directions Write a Review

NPPES record last updated: September 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Seth Ilias Breitbart M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SETH ILIAS BREITBART M.D. (NPI 1124266986) is an individual internal medicine provider in Englewood, New Jersey, licensed in New Jersey (25MA08725700) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1124266986

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SETH ILIAS BREITBARTCredential: M.D.

Location Address350 ENGLE STREETEnglewood, NJ 07631-2717

Mailing Address350 Engle StreetEnglewood, NJ 07631-2717 · (201) 894-3364 · Fax (201) 894-5693

Phone(201) 894-3364

Fax(201) 894-5693

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJanuary 31, 2009

Last NPPES UpdateSeptember 20, 2013

✔ NPI 1124266986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA08725700

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

350 ENGLE STREET, Englewood, NJ 07631

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Seth Ilias Breitbart M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173655198

PECOS Enrollment IDI20100709000363

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

415 services399 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

194 services186 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Hospital

Acute Care Hospitals · Paramus, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310012

Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County

Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310045

Location350 Engle StEnglewood, NJ 07631 · Bergen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

93.57

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRIAN HANGIL KIM M.D.

Internal Medicine (Hematology & Oncology)

350 ENGLE STREET, 1ST FLOOR BERRIE BUILDING
ENGLEWOOD, NJ 07631

Bergen County (201) 568-5250

MERCEDES DELGADO MD

Pediatrics

350 ENGLE STREET, PEDIATRICS DEPARTMENT
ENGLEWOOD, NJ 07631

Bergen County (201) 894-3158

EDWIN SALAMANCA PA

Physician Assistant

350 ENGLE STREET, ENGLEWOOD HOSPITAL
ENGLEWOOD, NJ 07631

Bergen County (201) 984-3000

EHAB ADAM

Student in an Organized Health Care Education/Training Program

350 ENGLE STREET
ENGLEWOOD, NJ 07631

Bergen County (201) 894-3000

KATHRYN M MICHELOTTI DNP APRN FNP-BC CCRN

Nurse Practitioner (Family)

350 ENGLE STREET, 5 MAIN
ENGLEWOOD, NJ 07631

Bergen County (201) 894-3636

FRANCISCO DANIEL ALVAREZ

Student in an Organized Health Care Education/Training Program

350 ENGLE STREET
ENGLEWOOD, NJ 07631

Bergen County (201) 894-3000

SHEELA SAJAN NP

Nurse Practitioner (Psychiatric/Mental Health)

350 ENGLE STREET, 4 EAST
ENGLEWOOD, NJ 07631

Bergen County (201) 292-1400

MS. JALISA LASHAE CARVALHO M.D.

Student in an Organized Health Care Education/Training Program

350 ENGLE STREET, DEPARTMENT OF MEDICINE
ENGLEWOOD, NJ 07631

Bergen County (201) 896-3143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seth Breitbart's NPI number?

The NPI number for Seth Breitbart is 1124266986. It was assigned to this individual provider in the NPPES registry on January 31, 2009.

Where is Seth Breitbart located?

Seth Breitbart practices at 350 Engle Street, Englewood, NJ 07631. The listed phone number is (201) 894-3364.

What is Seth Breitbart's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Seth Breitbart enrolled in Medicare?

Yes. Seth Breitbart is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Seth Breitbart accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Seth Breitbart as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Seth Breitbart affiliated with any hospitals?

According to CMS data, Seth Breitbart is affiliated with Valley Hospital and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Seth Breitbart was last updated on September 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.