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BROOKHAVEN MEMORIAL HOSPITAL
NPI 1043369721
Clinic/Center in Patchogue, NY

Active since January 10, 2007
101 HOSPITAL RD, PATCHOGUE, NY 11772(631) 687-4001(631) 687-4004 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookhaven Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKHAVEN MEMORIAL HOSPITAL (NPI 1043369721) is a healthcare organization registered as a clinic/center in Patchogue, New York and active in the NPI registry since January 2007. The organization lists Anthony Shallash, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1043369721
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBROOKHAVEN MEMORIAL HOSPITAL
Location Address101 HOSPITAL RDPatchogue, NY 11772-4870
Mailing Address101 Hospital RdPatchogue, NY 11772-4870 · (631) 687-4001 · Fax (631) 687-4004
Phone(631) 687-4001
Fax(631) 687-4004
Organization SubpartNo
Authorized OfficialAnthony ShallashChief Medical Officer · (631) 654-7481
Enumeration DateJanuary 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1043369721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · F300787
Definition
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).
101 HOSPITAL RD, Patchogue, NY 11772
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VAISHALI MEHTA MD
Internal Medicine (Critical Care Medicine)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
COURTNEY BOFINGER PA
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
TAHA A SIDDIQUI MD
Internal Medicine
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 473-1320
NYU LANGONE HOSPITALS
Clinic/Center (Mental Health (Including Community Mental Health Center))
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7175
ANNETTE POPE-MORRIS PA
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
CARLOS KIM
Student in an Organized Health Care Education/Training Program
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7170
MEAGHAN CHOU PA-C
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100
AUSTIN DANIEL BUDHRAM PA-C
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brookhaven Memorial Hospital's NPI number?

The NPI number for Brookhaven Memorial Hospital is 1043369721. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Brookhaven Memorial Hospital located?

Brookhaven Memorial Hospital is located at 101 Hospital Rd, Patchogue, NY 11772. The listed phone number is (631) 687-4001.

What is Brookhaven Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Brookhaven Memorial Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.