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

NPI Status: Active since January 10, 2007

Contact Information

101 HOSPITAL RD
PATCHOGUE, NY
ZIP 11772
Phone: (631) 687-4001
Fax: (631) 687-4004

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  • Organization
  • Clinic/Center

About BROOKHAVEN MEMORIAL HOSPITAL

This page provides the complete NPI Profile along with additional information for Brookhaven Memorial Hospital, a provider established in Patchogue, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1043369721 assigned on January 2007. The practitioner's primary taxonomy code is 261Q00000X with license number F300787 (NY). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Anthony Shallash M.d. (Chief Medical Officer)

NPI
1043369721
Provider Name
BROOKHAVEN MEMORIAL HOSPITAL
Entity Type
Organization
Location Address
101 HOSPITAL RD PATCHOGUE, NY 11772
Location Phone
(631) 687-4001
Location Fax
(631) 687-4004
Mailing Address
101 HOSPITAL RD PATCHOGUE, NY 11772
Mailing Phone
(631) 687-4001
Mailing Fax
(631) 687-4004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-10-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
F300787
License State
NY
Taxonomy Description
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).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANTHONY SHALLASH M.D.

Authorized Official Title
CHIEF MEDICAL OFFICER
Authorized Official Phone
(631) 654-7481

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043369721, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 6 + 6 + 1 + 8 + 7 + 4 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1043369721.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
101 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Emergency Medicine
101 HOSPITAL RD
PATCHOGUE, NY 11772
Internal Medicine
101 HOSPITAL RD
E PATCHOGUE, NY 11772
Physician Assistant (Surgical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Anesthesiology
101 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Anesthesiology
101 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Anesthesiology
101 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Anesthesiology
101 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Anesthesiology
101 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Anesthesiology
101 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Anesthesiology
101 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Anesthesiology
101 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Anesthesiology
101 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Anesthesiology
101 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Physician Assistant (Surgical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Anesthesiology (Pain Medicine)
101 HOSPITAL RD
EAST PATCHOGUE, NY 11772
Internal Medicine
101 HOSPITAL RD
PATCHOGUE, NY 11772
Psychiatry & Neurology (Psychiatry)
101 HOSPITAL RD
PATCHOGUE, NY 11772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043369721, enumerated as an "organization" on January 10, 2007.

The provider is located at 101 HOSPITAL RD PATCHOGUE, NY 11772 and the phone number is (631) 687-4001.

Clinic/Center with taxonomy code 261Q00000X.