COUNTY OF SUFFOLK (NPI# 1851321152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851321152 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SUFFOLK |
| Other Organization Name | BRENTWOOD FAMILY HEALTH CENTER |
| Practice Address |
1869 Brentwood Rd Brentwood NY 11717-4625 |
| Mailing Address |
3500 Sunrise Hwy, Suite 124 P.o. Box 9006 Great River NY 11739-9006 |
| Practice Telephone | 6318533400 |
| Practice Fax Number | 6318533493 |
| Mailing Telephone | 6318540000 |
| Mailing Fax Number | 6318540108 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | MR. JAMES L. TOMARKEN (COMMISSIONER) |
| Authorized Official Telephone | 6318540100 |
| Authorized Official Credential | MSW,MPH,MBA,FRCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 5155200R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03003707 | 05 |
| Other Name | Type Code |
|---|---|
| Brentwood Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760586978 | County of Suffolk | Local Education Agency (LEA) | 50 Laser Ct, Hauppauge, NY 11788 | 2006-09-08 |
| 1891897781 | County of Suffolk | Clinic/Center | 689 Jericho Tpke, Huntington Station, NY 11746-7501 | 2006-09-02 |
| 1669574547 | County of Suffolk | Clinic/Center | 200 Wireless Blvd, Hauppauge, NY 11788-3974 | 2006-09-02 |
| 1871506055 | County of Suffolk | Home Health | 3500 Sunrise Hwy Ste 124, Great River, NY 11739-1001 | 2006-08-15 |
| 1104868702 | County of Suffolk | Skilled Nursing Facility | 14 Glover Dr, Yaphank, NY 11980-1204 | 2006-06-11 |
| 1093963910 | County of Suffolk | Case Management | 50 Laser Ct, Hauppauge, NY 11788-3958 | 2008-09-04 |
| 1285750737 | County of Suffolk | Public Health or Welfare | 3500 Sunrise Hwy Ste 124, Pob 9006, Great River, NY 11739-1001 | 2007-03-22 |
| 1386748598 | County of Suffolk | Clinic/Center | 300 Center Dr, Riverhead, NY 11901-3393 | 2006-09-08 |
| 1366546574 | County of Suffolk | Clinic/Center | 300 Center Dr, County Center, Riverhead, NY 11901-3393 | 2006-09-08 |
| 1275637480 | County of Suffolk | Clinic/Center | 1556 Straight Path, Wyandanch, NY 11798-3213 | 2006-09-08 |
| Street Address |
1869 BRENTWOOD RD |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659755817 | Hudson River Healthcare,inc. | Case Management | 1869 Brentwood Rd, Hrhc Brentwood, Brentwood, NY 11717-4625 | 2015-07-16 |
| 1669726089 | Nicole Tapia | Nutritionist | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2012-11-07 |
| 1457673071 | Chris Muggeo | Registered Nurse | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2010-02-23 |
| 1972759678 | Charles Delacuadra | Family Medicine | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2008-08-13 |
| 1548449226 | Alison Abrams | Nurse Practitioner | 1869 Brentwood Rd, Suffolk County Employee Health Services, Brentwood, NY 11717-4625 | 2007-10-30 |
| 1538348776 | Carol K Hardie | Nurse Practitioner | 1869 Brentwood Rd, Employee Health Services, Brentwood, NY 11717-4625 | 2007-10-24 |
| 1801926191 | Nancy Louise Hill | Nurse Practitioner | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-03-06 |
| 1386787828 | Thomas A Glanz | Physician Assistant | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-02-15 |
| 1639223480 | Pamela Groh | Dietitian, Registered | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-01-22 |
| 1134270549 | Maria Del Rosario Vesey | Family Medicine | 1869 Brentwood Rd, Brentwood, NY 11717-4625 | 2007-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780016790 | Moon Acupuncture, PC | Clinic/Center | 932 Suffolk Ave, Brentwood, NY 11717-4502 | 2013-07-31 |
| 1326182866 | Brentwood Foot and Ankle Clinic, Inc. | Clinic/Center | 71 Sand Creek Rd Ste L, Brentwood, CA 94513-7319 | 2007-02-17 |
| 1326518705 | Specialtycare Cardiovascular Resources, LLC | Clinic/Center | 3 Maryland Farms Ste 200, Brentwood, TN 37027-5780 | 2018-11-28 |
| 1396100665 | Chs Tennessee Medical P C | Clinic/Center | 5410 Maryland Way, Brentwood, TN 37027 | 2015-12-30 |
| 1225407232 | Michael A. Boggess, Md, Pllc | Clinic/Center | 213 Overlook Cir, Suite B-3, Brentwood, TN 37027-3291 | 2015-09-20 |
| 1487998324 | Maxfield Enterprise | Clinic/Center | 7123 Crossroads Blvd, Suite A, Brentwood, TN 37027-2877 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
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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.