BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER (NPI# 1114277449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114277449 |
| Entity Type | Organization |
| Organization Name | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Practice Address |
100 Hospital Rd Patchogue NY 11772 |
| Practice Telephone | 6314473010 |
| Practice Fax Number | 6314473012 |
| Mailing Telephone | 6314473010 |
| Mailing Fax Number | 6314473012 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |
| Authorized Official Name | MRS. JODY FALZONE (RESIDENCY PROGRAM COORDINATOR) |
| Authorized Official Telephone | 6314473010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 39 | NY | Hospitals |
| 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 |
| 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 |
| 1346429115 | Brookhaven Memorial Hospital Medical Center | Psychiatry & Neurology | 101 Hospital Road, Patchogue, NY 11772-4870 | 2007-10-30 |
| 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 |
100 HOSPITAL RD |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104351527 | Princess Essi Mark | Student in an Organized Health Care Education/Training Program | 100 Hospital Rd, Suite 201, Patchogue, NY 11772-8809 | 2017-04-23 |
| 1316121973 | Brookhaven Surgical Services PC | Orthopaedic Surgery | 100 Hospital Rd, Suite 106, Patchogue, NY 11772-8809 | 2007-12-19 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891060836 | Brookhaven Memorial Hospital Medical Center - Transitional Care Unit | General Acute Care Hospital | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2012-03-08 |
| 1508003716 | Brookhaven Memorial Hospital Medical Center | General Acute Care Hospital | 33 Medford Avenue, Suite D, Patchogue, NY 11772-1222 | 2009-01-09 |
| 1225218456 | Brookhaven Mem Hosp-nuc C | General Acute Care Hospital | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2007-11-05 |
| 1053354100 | Brookhaven Memorial Hospital Medical Center, Inc. | General Acute Care Hospital | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507114 | University Hospital At Stony Brook | General Acute Care Hospital | 740 County Road 39, Southampton, NY 11968-5090 | 2018-11-20 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER.
| 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.