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BRENTWOOD MEDICAL CARE, PC
NPI 1417012568
General Practice in Brentwood, NY

Active since December 27, 2006
55 SECOND AVE, SUITE 1, BRENTWOOD, NY 11717(631) 751-5588 Get Directions Write a Review

NPPES record last updated: October 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brentwood Medical Care, Pc NPPES

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

BRENTWOOD MEDICAL CARE, PC (NPI 1417012568) is a healthcare organization registered as a general practice in Brentwood, New York and active in the NPI registry since December 2006. The organization lists Matthew J Viso, Manager, as its authorized official.

NPPES Registry Identity

NPI1417012568
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBRENTWOOD MEDICAL CARE, PC
Location Address55 SECOND AVE, SUITE 1Brentwood, NY 11717-4611
Mailing Address1890 New York AveHuntington Station, NY 11746-2904 · (631) 427-6920
Phone(631) 751-5588
Organization SubpartNo
Authorized OfficialMatthew J VisoManager · (631) 751-5588
Enumeration DateDecember 27, 2006
Last NPPES UpdateOctober 29, 2010
✔ NPI 1417012568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 183817
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
55 SECOND AVE, Brentwood, NY 11717
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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

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

ORTHOMED HEALTH, PC
Clinic/Center (Physical Therapy)
55 SECOND AVE, SUITE 1
BRENTWOOD, NY 11717
Suffolk County (631) 617-5733

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 Brentwood Medical Care, PC's NPI number?

The NPI number for Brentwood Medical Care, PC is 1417012568. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Brentwood Medical Care, PC located?

Brentwood Medical Care, PC is located at 55 Second Ave Suite 1, Brentwood, NY 11717. The listed phone number is (631) 751-5588.

What is Brentwood Medical Care, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Brentwood Medical Care, PC was last updated on October 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.