BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER – NPI #1114014065
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER is a radiologist located in PATCHOGUE, NY. NPPES has assigned the NPI number 1114014065 to BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER on October 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 16 years ago on Mar 25, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER below.

NPI Profile for
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER

NPI Number
1114014065
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Doing Business As (dba): BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Primary location
101 HOSPITAL ROAD
PATCHOGUE, NY 11772
Phone: (631) 654-7728 Fax: (631) 447-3698
Mailing address
P.O. BOX 22027
ALBANY, NY 12201-2027
Phone: (631) 321-8043 Fax: (631) 321-4235
Organization Subpart
Yes - BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER is subpart of another organization.
Authorized Official
KENNETH SCHWARTZ
DIRECTOR
Phone: (631) 654-7728
Updated
Identifiers

Identifiers for BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02198121
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.