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KARL A DESHRAGE MD
NPI 1336158542
Family Medicine in Patchoque, NY

Active since August 05, 2006
365 EAST MAIN ST, SOUTH BROOKHAVEN HEALTH CENTER WEST, PATCHOQUE, NY 11772(631) 854-1307(631) 854-1310 Get Directions Write a Review

NPPES record last updated: March 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karl A Deshrage Md NPPES

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

KARL A DESHRAGE MD (NPI 1336158542) is an individual family medicine provider in Patchoque, New York, licensed in New York (132912) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1336158542
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKARL A DESHRAGECredential: MD
Location Address365 EAST MAIN ST, SOUTH BROOKHAVEN HEALTH CENTER WESTPatchoque, NY 11772
Mailing Address365 East Main St, South Brookhaven Health Center WestPatchoque, NY 11772 · (631) 854-1307 · Fax (631) 854-1310
Phone(631) 854-1307
Fax(631) 854-1310
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateMarch 10, 2008
✔ NPI 1336158542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 132912
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
365 EAST MAIN ST, Patchoque, NY 11772
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Other Identifiers 3

Medicare ID-Type Unspecified38F631
Medicaid01769864NY
Medicare UPINE44735

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.

DR. LAWRENCE JOSEPH MINEI MD
Obstetrics & Gynecology
365 EAST MAIN ST, SOUTH BROOK HAVEN HEALTH CENTER WEST
PATCHOQUE, NY 11772
Suffolk County (631) 854-1307
MRS. LINDA JOAN AUMOCK NP
Nurse Practitioner (Pediatrics)
365 EAST MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 744-2813
MS. GLORIA KAY MANCUSO OG NP
Nurse Practitioner (Obstetrics & Gynecology)
365 EAST MAIN ST, SOUTH BROOKHAVEN HEALTH CENTER WEST
PATCHOGUE, NY 11772
Suffolk County (631) 854-1307

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 Karl Deshrage's NPI number?

The NPI number for Karl Deshrage is 1336158542. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Karl Deshrage located?

Karl Deshrage practices at 365 East Main St South Brookhaven Health Center West, Patchoque, NY 11772. The listed phone number is (631) 854-1307.

What is Karl Deshrage's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Karl Deshrage was last updated on March 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.