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BREITBECK PHYSICIAN MEDICINE SERVICES, PC
NPI 1205486669
Hospitalist in Port Jervis, NY

Active since September 18, 2019
160 E MAIN ST, PORT JERVIS, NY 12771(845) 858-7000 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2023, May 17, 2021, Sep 18, 2019 (3 updates tracked since 2019).

About Breitbeck Physician Medicine Services, Pc NPPES

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

BREITBECK PHYSICIAN MEDICINE SERVICES, PC (NPI 1205486669) is a healthcare organization registered as a hospitalist in Port Jervis, New York and active in the NPI registry since September 2019. The organization lists Bruce Whitman, President/director, as its authorized official.

NPPES Registry Identity

NPI1205486669
Entity TypeOrganization
Primary Taxonomy208M00000X
Legal Business NameBREITBECK PHYSICIAN MEDICINE SERVICES, PC
Location Address160 E MAIN STPort Jervis, NY 12771-2114
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Phone(845) 858-7000
Organization SubpartNo
Authorized OfficialBruce WhitmanPresident/director · (337) 609-1221
Enumeration DateSeptember 18, 2019
Last NPPES UpdateSeptember 12, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
✔ NPI 1205486669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
160 E MAIN ST, Port Jervis, NY 12771
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Other Identifiers 3

Medicaid1037687270001PA
Medicaid0730238NJ
Medicaid05985951NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. DANIEL NAM MD, PHD
Internal Medicine
160 E MAIN ST
PORT JERVIS, NY 12771
Orange County (845) 858-7000
BEVERLY JANE FERNANDEZ NP
Nurse Practitioner (Adult Health)
160 E MAIN ST
PORT JERVIS, NY 12771
Orange County (845) 807-2239
MRS. ELAINE MARGARET RIDLEY RD
Dietitian, Registered
160 E MAIN ST
PORT JERVIS, NY 12771
Orange County (845) 858-7067
MR. STEVEN M TARLOFF R PH
Pharmacist
160 E MAIN ST
PORT JERVIS, NY 12771
Orange County (845) 858-7200
SHERI SUCCI
Nurse Practitioner (Family)
160 E MAIN ST
PORT JERVIS, NY 12771
Orange County (845) 858-7000
DEER PARK ANESTHESIA GROUP, LLP.
Anesthesiology
160 E MAIN ST, BON SECOURS COMMUNITY HOSPITAL
PORT JERVIS, NY 12771
Orange County (845) 858-7000
RONALD M ROSHE MD
Emergency Medicine
160 E MAIN ST
PORT JERVIS, NY 12771
Orange County (845) 858-7000
TRI-STATE RADIOLOGY, P.C.
Radiology (Diagnostic Ultrasound)
160 E MAIN ST, RADIOLOGY DEPARTMENT
PORT JERVIS, NY 12771
Orange County (845) 858-7050

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 Breitbeck Physician Medicine Services, PC's NPI number?

The NPI number for Breitbeck Physician Medicine Services, PC is 1205486669. It was assigned to this organization in the NPPES registry on September 18, 2019.

Where is Breitbeck Physician Medicine Services, PC located?

Breitbeck Physician Medicine Services, PC is located at 160 E Main St, Port Jervis, NY 12771. The listed phone number is (845) 858-7000.

What is Breitbeck Physician Medicine Services, PC's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

When was this NPI record last updated?

The NPPES record for Breitbeck Physician Medicine Services, PC was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.