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DR. KANISTA MENIKE BASNAYAKE M.D.
NPI 1336221233
Family Medicine in Patchogue, NY

Active since October 19, 2006
365 E MAIN ST, SOUTH BROOKHAVEN HEALTH CENTER WEST, PATCHOGUE, NY 11772(631) 854-1281 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kanista Menike Basnayake M.d. NPPES

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

DR. KANISTA MENIKE BASNAYAKE M.D. (NPI 1336221233) is an individual family medicine provider in Patchogue, New York, licensed in New York (189498) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1336221233
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KANISTA MENIKE BASNAYAKECredential: M.D.
Location Address365 E MAIN ST, SOUTH BROOKHAVEN HEALTH CENTER WESTPatchogue, NY 11772-3145
Mailing Address3 Esplanade DrEast Patchogue, NY 11772-7905 · (631) 758-6773 · Fax (631) 758-6773
Phone(631) 854-1281
Sole ProprietorYes
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1336221233 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 · 189498
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 E MAIN ST, Patchogue, NY 11772
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Other Identifiers 1

Medicare UPINF40237NY

Other Providers at the Same Location NPPES 19

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

BERNICE BOUZY
Nurse Practitioner (Women's Health)
365 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 866-2030
SILVIA ADALJISA DIAZ NP
Nurse Practitioner (Adult Health)
365 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 751-3000
DAVID A EAGLE M.D.
Internal Medicine (Hematology & Oncology)
365 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 751-3000
REGINA M PFEIFER RN
Registered Nurse (Psychiatric/Mental Health)
365 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 854-1222
JOAN MILLER CASAC
Counselor (Addiction (Substance Use Disorder))
365 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 852-1222
LAUREN ROTHMAN LCSW
Social Worker (Clinical)
365 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 866-2030
PEDRAM SAMGHABADI LMSW
Social Worker (Clinical)
365 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 854-1222
ALEKSANDER VAYNTRAUB MD
Radiology (Radiation Oncology)
365 E MAIN ST
PATCHOGUE, NY 11772
Suffolk County (631) 751-3000

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 Kanista Basnayake's NPI number?

The NPI number for Kanista Basnayake is 1336221233. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Kanista Basnayake located?

Kanista Basnayake practices at 365 E Main St South Brookhaven Health Center West, Patchogue, NY 11772. The listed phone number is (631) 854-1281.

What is Kanista Basnayake'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 Kanista Basnayake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.