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BROOKHAVEN MRI
NPI 1083782460
Clinic/Center - Magnetic Resonance Imaging (MRI) in Patchogue, NY

Active since December 01, 2006
77 MEDFORD AVE, PATCHOGUE, NY 11772(631) 654-5555(631) 475-7185 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brookhaven Mri NPPES

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

BROOKHAVEN MRI (NPI 1083782460) is a healthcare organization registered as a magnetic resonance imaging (mri) in Patchogue, New York and active in the NPI registry since December 2006. The organization lists Henry Gerald Moreta, President, as its authorized official.

NPPES Registry Identity

NPI1083782460
Entity TypeOrganization
Primary Taxonomy261QM1200X
Legal Business NameSOUTH SHORE NEUROLOGIC ASSOCIATES PC
Location Address77 MEDFORD AVEPatchogue, NY 11772-1281
Mailing Address77 Medford AvePatchogue, NY 11772 · (631) 758-1910 · Fax (631) 475-7185
Phone(631) 654-5555
Fax(631) 475-7185
Organization SubpartNo
Authorized OfficialHenry Gerald MoretaPresident · (631) 758-1910
Enumeration DateDecember 1, 2006
Last NPPES UpdateJanuary 6, 2023
NPPES CertifiedJanuary 6, 2023
✔ NPI 1083782460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Magnetic Resonance Imaging (MRI)Ambulatory Health Care Facilities
Taxonomy Code261QM1200X
77 MEDFORD AVE, Patchogue, NY 11772
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Other Names 1

Doing Business AsBrookhaven Mri

Other Identifiers 1

Medicaid01259347NY

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.

MS. LISA MICHELLE HODGE-SCELSA NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
77 MEDFORD AVE, ROUTE 112
PATCHOGUE, NY 11772
Suffolk County (631) 758-4444
AMY D RAFUSE PT
Physical Therapist
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 207-2370
ELISA S PROCACCINI MSPT
Physical Therapist
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 207-2370
MR. JOHN O GRIMALDI PT
Physical Therapist
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 207-2370
MS. CATHERINE MARIE AUGUSTINE DPT
Physical Therapist
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 207-2370
DANIELLE M BOUSQUET
Physical Therapist
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 758-1910
MR. KEITH FRANCIS LEVINSON DPT
Physical Therapist
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 207-2370
LAURA RODRIGUEZ DPT
Physical Therapist
77 MEDFORD AVE
PATCHOGUE, NY 11772
Suffolk County (631) 207-2370

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 South Shore Neurologic Associates PC's NPI number?

The NPI number for South Shore Neurologic Associates PC is 1083782460. It was assigned to this organization in the NPPES registry on December 1, 2006. The provider is doing business as Brookhaven Mri.

Where is South Shore Neurologic Associates PC located?

South Shore Neurologic Associates PC is located at 77 Medford Ave, Patchogue, NY 11772. The listed phone number is (631) 654-5555.

What is South Shore Neurologic Associates PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Magnetic Resonance Imaging (MRI), with taxonomy code 261QM1200X.

When was this NPI record last updated?

The NPPES record for South Shore Neurologic Associates PC was last updated on January 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.