BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER (NPI# 1346429115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346429115 |
| Entity Type | Organization |
| Organization Name | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Other Organization Name | BROOKHAVEN MEMORIAL HOSPITAL PSYCHIATRIC PHYSICIANS |
| Practice Address |
101 Hospital Road Patchogue NY 11772-4870 |
| Practice Telephone | 6316547760 |
| Practice Fax Number | 6314473044 |
| Mailing Telephone | 6316547100 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | BRENDA J FARRELL (VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 6316547175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02244824 | 05 |
| Other Name | Type Code |
|---|---|
| Brookhaven Memorial Hospital Psychiatric Physicians | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639121825 | Brookhaven Memorial Hospital Medical Center | Emergency Medicine | 101 Hospital Road, Patchogue, NY 11772-4870 | 2006-05-16 |
| 1609877364 | Brookhaven Memorial Hospital Medical Center | Hospice Care, Community Based | 105 West Main Street, Patchogue, NY 11772-3003 | 2005-08-03 |
| 1184041899 | Brookhaven Memorial Hospital Medical Center | Family Medicine | 515 Bellport Ave, Bellport, NY 11713-1711 | 2014-03-20 |
| 1679811293 | Brookhaven Memorial Hospital Medical Center | Clinic/Center | 350 Martha Ave, Bellport, NY 11713-1525 | 2013-01-17 |
| 1114277449 | Brookhaven Memorial Hospital Medical Center | General Acute Care Hospital | 100 Hospital Rd, Patchogue, NY 11772 | 2012-09-13 |
| 1508003716 | Brookhaven Memorial Hospital Medical Center | General Acute Care Hospital | 33 Medford Avenue, Suite D, Patchogue, NY 11772-1222 | 2009-01-09 |
| 1598945735 | Brookhaven Memorial Hospital Medical Center | Clinic/Center | 33 Medford Avenue, Suite D, Patchogue, NY 11772-1222 | 2007-11-05 |
| 1114141298 | Brookhaven Memorial Hospital Medical Center | Clinic/Center | 365 East Main Street, Patchogue, NY 11772-3145 | 2007-04-12 |
| 1902029796 | Brookhaven Memorial Hospital Medical Center | Clinic/Center | 550 Montauk Highway, Shirley, NY 11967-2114 | 2007-04-10 |
| 1235210931 | Brookhaven Memorial Hospital Medical Center | Clinic/Center | 101 Hospital Road, Patchogue, NY 11772-4870 | 2006-10-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC. | 101 Hospital Rd., Patchogue, New York 11772 |
| Street Address |
101 HOSPITAL ROAD |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-4870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639121825 | Brookhaven Memorial Hospital Medical Center | Emergency Medicine | 101 Hospital Road, Patchogue, NY 11772-4870 | 2006-05-16 |
| 1225584204 | Michael Kirk | Student in an Organized Health Care Education/Training Program | 101 Hospital Road, Patchogue, NY 11772 | 2016-08-30 |
| 1194100537 | Dimple Puthethukudi George | Nurse Practitioner | 101 Hospital Road, Brook Haven Hospital Medical Center, Patchogue, NY 11772 | 2015-07-28 |
| 1417232760 | Brookhaven Memorial Hospital Medical Center, Inc. | Internal Medicine | 101 Hospital Road, Patchogue, NY 11772-4870 | 2011-10-19 |
| 1073824454 | Felix James Grucci IIi | Neuromusculoskeletal Medicine & OMM | 101 Hospital Road, Access Center, Patchogue, NY 11772-4870 | 2010-06-30 |
| 1487843090 | Brookhaven Memorial Hospital Medical Center, Inc. | Physician Assistant | 101 Hospital Road, Patchogue, NY 11772-4870 | 2007-10-19 |
| 1528133147 | Brookhaven Memorial Hospital Medical Center, Inc. | Psychiatric Unit | 101 Hospital Road, Patchogue, NY 11772-4870 | 2006-11-21 |
| 1235210931 | Brookhaven Memorial Hospital Medical Center | Clinic/Center | 101 Hospital Road, Patchogue, NY 11772-4870 | 2006-10-18 |
| 1114014065 | Brookhaven Memorial Hospital Medical Center | Radiology | 101 Hospital Road, Patchogue, NY 11772 | 2006-10-10 |
| 1356375083 | Diane Rosario | Physician Assistant | 101 Hospital Road, Brookhaven Memorial Hospital, Patchogue, NY 11772 | 2006-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164984498 | Grace Mroz Np In Psychiatry Pllc | Psychiatry & Neurology | 450 Waverly Ave, Building 4 Suite 11, Patchogue, NY 11772 | 2019-04-04 |
| 1902094824 | Ronald J. Taddeo, M.d., P.c | Psychiatry & Neurology | 4 Phyllis Dr, Suite H, Patchogue, NY 11772-2900 | 2007-10-04 |
| 1861522245 | Ronald J Taddeo | Psychiatry & Neurology | 4 Phyllis Dr, Suite H, Patchogue, NY 11772-2900 | 2007-03-06 |
| 1376617944 | Lisa Marie Bonvino | Psychiatry & Neurology | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2006-11-17 |
| 1417046921 | Zaiwang Paul Jin | Psychiatry & Neurology | 365 E Main St, Patchogue, NY 11772-3145 | 2006-10-12 |
| 1619918562 | Ali Sayed Aziz | Psychiatry & Neurology | 101 Hospital Rd, Patchogue, NY 11772 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850276 | Nyc Psychiatric Associates | Psychiatry & Neurology | 385 5th Ave Rm 1106, New York, NY 10016-3340 | 2020-10-30 |
| 1063010718 | Integrative Medicine Psychiatry P.C. | Psychiatry & Neurology | 200 Prospect Park W Ste 1r, Brooklyn, NY 11215-5717 | 2020-10-14 |
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1356955934 | Hillside Tms Pllc | Psychiatry & Neurology | 1575 Hillside Ave Ste 208, New Hyde Park, NY 11040-2501 | 2020-09-01 |
| 1730706169 | Scott Dibartolo | Psychiatry & Neurology | 426 W 45th St Apt 5fe, New York, NY 10036-9066 | 2020-07-01 |
| 1669096699 | Preserving Healthy Minds, Nurse Practitioner of Psychiatry Pllc | Psychiatry & Neurology | 493 Shoddy Hollow Rd, Middletown, NY 10940-7509 | 2020-06-05 |
| 1104449701 | Clear Minds Nyc, LLC | Psychiatry & Neurology | 210 E 121st St Apt 2m, New York, NY 10035-3053 | 2020-05-19 |
| 1215556774 | Allexian, LLC | Psychiatry & Neurology | 418 E 71st St Ph Fl, New York, NY 10021-4894 | 2020-04-14 |
| 1427682350 | Brian Francis Esposito | Psychiatry & Neurology | 435 E 70th St Apt 27h, New York, NY 10021-5349 | 2020-02-29 |
| 1972135416 | Cnypsychiatry | Psychiatry & Neurology | 1/2 Orange St Ste 2, Marcellus, NY 13108-1216 | 2020-02-12 |
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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.