BROOKHAVEN MEMORIAL HOSPITAL PALLIATIVE CARE DEPT.
NPI 1417232760
Internal Medicine - Hospice and Palliative Medicine in Patchogue, NY

Q: What is Brookhaven Memorial Hospital Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Active since October 19, 2011

101 HOSPITAL ROAD, PATCHOGUE, NY 11772(631) 654-7739(631) 447-3098 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Brookhaven Memorial Hospital Palliative Care Dept. NPPES

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

BROOKHAVEN MEMORIAL HOSPITAL PALLIATIVE CARE DEPT. (NPI 1417232760) is a healthcare organization registered as a hospice and palliative medicine in Patchogue, New York and active in the NPI registry since October 2011. The organization lists Brenda J Farrell, Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1417232760

Entity TypeOrganization

Primary Taxonomy207RH0002X

Legal Business NameBROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.

Location Address101 HOSPITAL ROADPatchogue, NY 11772-4870

Mailing Address101 Hospital RoadPatchogue, NY 11772-4870 · (631) 654-7100

Phone(631) 654-7739

Fax(631) 447-3098

Organization SubpartNo

Authorized OfficialBrenda J FarrellVice President & Cfo · (631) 654-7175

Enumeration DateOctober 19, 2011

Last NPPES UpdateJune 2, 2022

NPPES CertifiedJune 2, 2022

✔ NPI 1417232760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RH0002X

Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

101 HOSPITAL ROAD, Patchogue, NY 11772

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Other Names 2

Doing Business AsBrookhaven Memorial Hospital Palliative Care Dept.

Doing Business AsLong Island Community Hospital

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brookhaven Memorial Hospital Palliative Care Dept. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 89 clinicians reassign Medicare billing to Brookhaven Memorial Hospital Palliative Care Dept., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 38 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner24

Cardiovascular Disease (Cardiology)16

Psychiatry14

Family Practice10

Neurology9

Clinical Social Worker4

Internal Medicine4

Interventional Cardiology4

3 other specialties4

Nearest to this location (20)

See all 89

Ali Aziz, M.D.

Psychiatry

NPI 1619918562

101 HOSPITAL RD
Patchogue, NY 11772

(613) 654-7100

✔ PECOS✔ Accepts MedicareSame address

Laura Hoehlein, NP

Nurse Practitioner

NPI 1821033820

101 HOSPITAL ROAD MEDICAL CENTER
Patchogue, NY 11772

(631) 687-2953

✔ PECOSSame address

Kyoughee Song, NP

Nurse Practitioner

NPI 1376878652

101 HOSPITAL RD
Patchogue, NY 11772

(631) 654-7674

✔ PECOS✔ Accepts MedicareSame address

Joseph Franco, D.O.

Cardiovascular Disease (Cardiology)

NPI 1669637146

100 HOSPITAL RD SUITE 200
East Patchogue, NY 11772

(631) 307-9737

✔ PECOS✔ Accepts Medicare0.1 mi

William Krotz, MD

Family Practice

NPI 1194756452

100 HOSPITAL RD
East Patchogue, NY 11772

(631) 475-6900

✔ PECOS✔ Accepts Medicare0.1 mi

Dewan Rahman, D.O

Family Practice

NPI 1427312446

100 HOSPITAL RD
East Patchogue, NY 11772

(631) 447-3010

✔ PECOS✔ Accepts Medicare0.1 mi

Peter Urazov, DO

Family Practice

NPI 1003070558

100 HOSPITAL RD SUITE 203
East Patchogue, NY 11772

(631) 475-6900

✔ PECOS✔ Accepts Medicare0.1 mi

Richard Dyckman, MD

Cardiovascular Disease (Cardiology)

NPI 1528019403

285 SILLS ROAD BUILDING # 14
East Patchogue, NY 11772

(631) 447-8300

✔ PECOS0.2 mi

Shahriar Khalili, MD

Cardiovascular Disease (Cardiology)

NPI 1124079173

285 SILLS ROAD BUILDING #14
East Patchogue, NY 11772

(631) 447-8300

✔ PECOS✔ Accepts Medicare0.2 mi

Waqas Khan, MD

Interventional Cardiology

NPI 1366639908

285 SILLS RD BLDG 14E
East Patchogue, NY 11772

(718) 836-6600

✔ PECOS✔ Accepts Medicare0.2 mi

Vito Mercurio, MD

Cardiovascular Disease (Cardiology)

NPI 1518923135

285 SILLS RD BUILDING #14
East Patchogue, NY 11772

(631) 447-8300

✔ PECOS✔ Accepts Medicare0.2 mi

Jaiby Augustine, ANP-C

Nurse Practitioner

NPI 1386928265

286 SILLS RD SUITE 4
East Patchogue, NY 11772

(631) 946-6446

✔ PECOS✔ Accepts Medicare0.2 mi

James Semertzides, MD

Cardiovascular Disease (Cardiology)

NPI 1932165560

285 SILLS ROAD BUILDING 14
East Patchogue, NY 11772

(631) 447-8300

✔ PECOS0.2 mi

Moataz Haggag, M.D.

Psychiatry

NPI 1508966565

240 PATCHOGUE YAPHANK RD SUITE 211
East Patchogue, NY 11772

(631) 758-2815

✔ PECOS✔ Accepts Medicare0.4 mi

Jacob Mathew, MD

Neurology

NPI 1407857634

475 E MAIN ST STE 205
Patchogue, NY 11772

(631) 394-2550

✔ PECOS✔ Accepts Medicare1.4 mi

Diane Cesario, NP

Nurse Practitioner

NPI 1205489119

325 E MAIN ST
Patchogue, NY 11772

(631) 654-3278

✔ PECOS1.7 mi

Satheesh Joseph, M.D.

Interventional Cardiology

NPI 1033133343

325 E MAIN ST SUITE 120
Patchogue, NY 11772

(631) 654-3278

✔ PECOS✔ Accepts Medicare1.7 mi

Adam Kruger, D.O.

Cardiovascular Disease (Cardiology)

NPI 1568695831

325 E MAIN ST
Patchogue, NY 11772

(718) 793-6800

✔ PECOS✔ Accepts Medicare1.7 mi

Edward Kormylo, DPM

Podiatry

NPI 1568436392

33 MEDFORD AVE STE D
Patchogue, NY 11772

(631) 687-4190

✔ PECOS✔ Accepts Medicare1.8 mi

Imrana Ahmed, D.O.

Family Practice

NPI 1891097416

515 BELLPORT AVE
Bellport, NY 11713

(631) 227-6600

✔ PECOS✔ Accepts Medicare1.9 mi

See all 89 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Memorial Hospital Medical Center, Inc.'s NPI number?

The NPI number for Brookhaven Memorial Hospital Medical Center, Inc. is 1417232760. It was assigned to this organization in the NPPES registry on October 19, 2011. The provider is doing business as Brookhaven Memorial Hospital Palliative Care Dept. and Long Island Community Hospital.

Where is Brookhaven Memorial Hospital Medical Center, Inc. located?

Brookhaven Memorial Hospital Medical Center, Inc. is located at 101 Hospital Road, Patchogue, NY 11772. The listed phone number is (631) 654-7739.

What is Brookhaven Memorial Hospital Medical Center, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Brookhaven Memorial Hospital Medical Center, Inc. enrolled in Medicare?

Yes. Brookhaven Memorial Hospital Medical Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brookhaven Memorial Hospital Medical Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 89 clinicians in 11 Medicare specialties reassign their Medicare billing to Brookhaven Memorial Hospital Medical Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (24), Cardiovascular Disease (Cardiology) (16) and Psychiatry (14). Of these, 3 practice at this address and 38 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brookhaven Memorial Hospital Medical Center, Inc. was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.