DR. SAMUEL PEARCE BROWN (NPI# 1275848970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275848970 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL PEARCE BROWN |
| Credential | D.O. |
| Practice Address |
635 Belle Terre Rd Ste 209 Port Jefferson NY 11777-1987 |
| Practice Telephone | 6314740707 |
| Practice Fax Number | 6318286309 |
| Mailing Telephone | 6314740707 |
| Mailing Fax Number | 6318286309 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
279703 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861025363 | Samuel Brown | Audiologist | Medical Center Blvd 4th Floor Janeway Tower: Audiology, Winston Salem, NC 27157-0001 | 2020-02-13 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1710326780 | Samuel Edward Brown | Radiology | 540 Owens Farm Rd, Alpharetta, GA 30004-3797 | 2013-06-22 |
| 1265784128 | Samuel Arthur Brown | Registered Nurse | 13846 Nickel Plate Rd, Logan, OH 43138-9040 | 2012-10-02 |
| 1700106895 | Samuel Filikitonga Brown | Social Worker | 9176 South 300 West, Suite 34, Sandy, UT 84070-2668 | 2010-06-11 |
| 1013134253 | Samuel Weldon Brown | Dentist | 2553 Chain Bridge Road, Vienna, VA 22181 | 2007-04-19 |
| 1225110489 | Samuel Y Brown | Pediatrics | 3813 Williams Blvd, Kenner, LA 70065-3007 | 2006-10-19 |
| 1548350846 | Samuel Burnette Brown | Psychiatry & Neurology | 27 Lenox Pointe Ne, Atlanta, GA 30324-3172 | 2006-10-15 |
| 1558340182 | Samuel E Brown | Obstetrics & Gynecology | 8149 Point Meadows Way, Jacksonville, FL 32256-9111 | 2006-01-12 |
| 1356340087 | Samuel Dean Brown | Internal Medicine | 226 Se Debell Ave, Bldg. B, Bartlesville, OK 74006-2300 | 2005-07-15 |
| Street Address |
635 BELLE TERRE RD STE 209 |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-1987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679120679 | Karin Merrins | Nurse Practitioner | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1987 | 2019-08-23 |
| 1215495700 | Staci Marie Clabough | Nurse Practitioner | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1987 | 2019-03-04 |
| 1134634645 | Long Island Physician Affiliates, Pllc | Anesthesiology | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777-1935 | 2017-12-06 |
| 1194107961 | Kristen Ann Klein | Nurse Practitioner | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777 | 2015-06-29 |
| 1518256767 | Ross Eliott Lipton | Neuromusculoskeletal Medicine, Sports Medicine | 635 Belle Terre Rd Ste 209, Port Jefferson, NY 11777 | 2011-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922486182 | John T Mather Memorial Hospital | Physical Medicine & Rehabilitation | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2015-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384535 | Mohammad Aalai Medical Pllc | Physical Medicine & Rehabilitation | 17 Richlee Ct Apt 1s, Mineola, NY 11501-3638 | 2020-10-22 |
| 1659923357 | Action Rehab Medicine Pllc | Physical Medicine & Rehabilitation | 88 Hamilton Dr, Roslyn, NY 11576-3129 | 2019-07-12 |
| 1447813878 | Parkway Medical Services | Physical Medicine & Rehabilitation | Parkway Medical Services PC, 77 Pondfield Road 2f4, Bronxville, NY 10708 | 2019-04-22 |
| 1932667870 | Smart Care Medical P C | Physical Medicine & Rehabilitation | 353 93rd St, Brooklyn, NY 11209-6901 | 2019-03-11 |
| 1215454905 | Medical Alliance of New Jersey PC | Physical Medicine & Rehabilitation | 4806 11th Ave, Brooklyn, NY 11219-2931 | 2017-08-24 |
| 1215382445 | Westchester Pain Management | Physical Medicine & Rehabilitation | 83 S Bedford Rd Ste 100, Mount Kisco, NY 10549-3459 | 2016-04-25 |
| 1730584947 | 1st Step To Health Medical PC | Physical Medicine & Rehabilitation | 4310-12 Church Avenue, Brooklyn, NY 11203 | 2014-10-30 |
| 1629494570 | Brian Pekkerman | Physical Medicine & Rehabilitation | 2 Ohio Dr Ste 102, New Hyde Park, NY 11042-1111 | 2014-03-14 |
| 1649604661 | V-medical PC | Physical Medicine & Rehabilitation | 1069 Hempstead Tpke, Suite 4, Franklin Sq, NY 11010-2631 | 2013-08-27 |
| 1760825210 | Stephen Erosa | Physical Medicine & Rehabilitation | 1088 North Broadway, Yonkers, NY 10701 | 2013-04-15 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
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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.