BROOKHAVEN MEMORIAL HOSPITAL (NPI# 1750816039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750816039 |
| Entity Type | Organization |
| Organization Name | BROOKHAVEN MEMORIAL HOSPITAL |
| Practice Address |
100 Hospital Rd Suite 201 East Patchogue NY 11772-8809 |
| Practice Telephone | 6314471030 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |
| Authorized Official Name | HAO KEE HO (MD/INTERN) |
| Authorized Official Telephone | 6314473010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881015758 | Brookhaven Memorial Hospital | General Acute Care Hospital | 100 Hospital Rd, Suite 201, East Patchogue, NY 11772-8809 | 2013-12-19 |
| 1043369721 | Brookhaven Memorial Hospital | Clinic/Center | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2007-01-10 |
| 1598821019 | Brookhaven Memorial Hospital | Clinic/Center | 101 Hospital Rd, Anticoagulation Services, Patchogue, NY 11772-4870 | 2006-12-29 |
| 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 |
100 HOSPITAL RD SUITE 201 |
| City | EAST PATCHOGUE |
| State | NY |
| Zip Code | 11772-8809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760003529 | Adam Gulli Grunseich | Student in an Organized Health Care Education/Training Program | 100 Hospital Rd, East Patchogue, NY 11772-8809 | 2020-05-04 |
| 1447785795 | Rohan Jeet Singh | Student in an Organized Health Care Education/Training Program | 100 Hospital Rd, Suite 201, East Patchogue, NY 11772-8809 | 2017-04-25 |
| 1861857435 | Franco Cardiology, PC | Internal Medicine | 100 Hospital Rd, Suite 200, East Patchogue, NY 11772-8809 | 2015-12-23 |
| 1063894012 | Edward Pirolli | Family Medicine | 100 Hospital Rd, Suite 203, East Patchogue, NY 11772-8809 | 2015-06-26 |
| 1952783045 | Kimberly Barnaby | Family Medicine | 100 Hospital Rd, Suite 201, East Patchogue, NY 11772-8809 | 2015-06-24 |
| 1093138620 | Kathryn Hoffmann | Physical Therapist | 100 Hospital Rd, Suite 112, East Patchogue, NY 11772-8809 | 2014-02-03 |
| 1881015758 | Brookhaven Memorial Hospital | General Acute Care Hospital | 100 Hospital Rd, Suite 201, East Patchogue, NY 11772-8809 | 2013-12-19 |
| 1447681051 | Ping Hao | Physician Assistant | 100 Hospital Rd, Suite 216, East Patchogue, NY 11772-8809 | 2013-12-06 |
| 1447690490 | Naila Sarwat Mirza | Specialist | 100 Hospital Rd, East Patchogue, NY 11772-8809 | 2013-07-04 |
| 1407290802 | Sabrina L Diehl | Licensed Practical Nurse | 100 Hospital Rd, Ste. 115, East Patchogue, NY 11772-8809 | 2013-04-29 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1356942411 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 240 Airport Rd, White Plains, NY 10604-1315 | 2020-11-05 |
| 1649884537 | Bridge To Care Nurse Practitioner In Psychiatry PC | Clinic/Center | 3005 Church Ave, Brooklyn, NY 11226-4209 | 2020-09-08 |
| 1093328890 | Philomene Goueliani Phd | Clinic/Center | 1461 E 103rd St, Brooklyn, NY 11236-4513 | 2020-08-31 |
| 1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
| 1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
| 1922635218 | Proficient Rehab Care Pt Pllc | Clinic/Center | 121 Winham Ave, Staten Island, NY 10306-4930 | 2020-03-25 |
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | EAST PATCHOGUE |
| Zip Code | 11772 |
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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.