BROOKHAVEN SURGICAL SERVICES, P.C. (NPI# 1740514389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740514389 |
| Entity Type | Organization |
| Organization Name | BROOKHAVEN SURGICAL SERVICES, P.C. |
| Other Organization Name | BROOKHAVEN BARIATRIC AND WELLNESS PROGRAM |
| Practice Address |
55 Medford Ave Suite D Patchogue NY 11772-1229 |
| Practice Telephone | 6316875400 |
| Practice Fax Number | 6316875430 |
| Mailing Telephone | 6316875400 |
| Mailing Fax Number | 6316875430 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | MR. CRAIG ORDWAY (OWNER) |
| Authorized Official Telephone | 6316875400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Brookhaven Bariatric and Wellness Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013242353 | Brookhaven Surgical Services, P.C. | Surgery | 100 Hospital Rd, East Patchogue, NY 11772-8809 | 2009-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BROOKHAVEN SURGICAL SERVICES, P.C. | 101 Hospital Rd, East Patchogue, Ny 117724807 |
| Street Address |
55 MEDFORD AVE SUITE D |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578593786 | Charles R Dennis | Surgery | 55 Medford Ave, Suite E, Patchogue, NY 11772-1229 | 2006-07-04 |
| 1558501668 | Farhad Anoosh | Surgery | 55 Medford Ave, Suite D, Patchogue, NY 11772-1229 | 2009-03-02 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790716546 | Long Island Surgery P.C. | Surgery | 4 Phyllis Drive, Patchogue, NY 11772 | 2006-07-06 |
| 1578593786 | Charles R Dennis | Surgery | 55 Medford Ave, Suite E, Patchogue, NY 11772-1229 | 2006-07-04 |
| 1134189210 | Thomas F. Gerold | Surgery | 4 Phyllis Dr Ste B, Patchogue, NY 11772-2900 | 2006-03-24 |
| 1528470747 | Pawandeep Singh Hunjan | Surgery | 4 Phyllis Dr, Suite B, Patchogue, NY 11772-2900 | 2014-05-22 |
| 1972921930 | Suresh Yelika | Surgery | 4 Phyllis Dr Ste B, Patchogue, NY 11772-2900 | 2014-04-06 |
| 1619238409 | Paul Antonio Ogando | Surgery | 4 Phyllis Dr Ste B, Patchogue, NY 11772 | 2012-06-07 |
| 1598093916 | Allan Warren | Surgery | 33 Medford Ave, Patchogue, NY 11772-1222 | 2009-11-23 |
| 1558501668 | Farhad Anoosh | Surgery | 55 Medford Ave, Suite D, Patchogue, NY 11772-1229 | 2009-03-02 |
| 1407049901 | Thiruchitrambalam Arumugam | Surgery | 4 Phyllis Dr, Suite B, Patchogue, NY 11772-2900 | 2007-08-20 |
| 1275750713 | Stephen H Green | Surgery | 285 Sills Rd, Building 2 Suite A, Patchogue, NY 11772 | 2007-04-19 |
| Find all providers in PATCHOGUE | ||||
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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.