BROOKHAVEN NEUROLOGY PLLC
NPI 1083047971
Psychiatry & Neurology - Neurology in Medford, NY

Active since August 14, 2013
74 SOUTHAVEN AVE, SUITE G, MEDFORD, NY 11763(631) 654-2386(631) 447-3852 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brookhaven Neurology Pllc NPPES

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

BROOKHAVEN NEUROLOGY PLLC (NPI 1083047971) is a healthcare organization registered as a neurology in Medford, New York and active in the NPI registry since August 2013. The organization lists Pina Patel-pulipati, Director, as its authorized official.

NPPES Registry Identity

NPI1083047971
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameBROOKHAVEN NEUROLOGY PLLC
Location Address74 SOUTHAVEN AVE, SUITE GMedford, NY 11763-3746
Mailing Address74 Southaven Ave, Suite GMedford, NY 11763-3746 · (631) 654-2386 · Fax (631) 447-3852
Fax(631) 447-3852
Organization SubpartNo
Authorized OfficialPina Patel-pulipatiDirector · (631) 654-2386
Enumeration DateAugust 14, 2013
NPI 1083047971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NY · 266254
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X · License 266254 (NY)
74 SOUTHAVEN AVE, Medford, NY 11763

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Medical Oncology)
74 SOUTHAVEN AVE, SUITE C
MEDFORD, NY 11763
Dentist
74 SOUTHAVEN AVE, STE A
MEDFORD, NY 11763
Chiropractor
74 SOUTHAVEN AVE, SUITE B
MEDFORD, NY 11763

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 Neurology PLLC's NPI number?

The NPI number for Brookhaven Neurology PLLC is 1083047971. It was assigned to this organization in the NPPES registry on August 14, 2013.

Where is Brookhaven Neurology PLLC located?

Brookhaven Neurology PLLC is located at 74 Southaven Ave Suite G, Medford, NY 11763. The listed phone number is (631) 654-2386.

What is Brookhaven Neurology PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Brookhaven Neurology PLLC was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.