LONG ISLAND COMMUNITY HOSPITAL
NPI 1487843090
Physician Assistant in Patchogue, NY

Active since October 19, 2007
101 HOSPITAL ROAD, PATCHOGUE, NY 11772(631) 654-7755(631) 687-2822 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Long Island Community Hospital NPPES

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

LONG ISLAND COMMUNITY HOSPITAL (NPI 1487843090) is a healthcare organization registered as a physician assistant in Patchogue, New York and active in the NPI registry since October 2007. The organization lists Brenda J Farrell, Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1487843090
Entity TypeOrganization
Primary Taxonomy363A00000X
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
Fax(631) 687-2822
Organization SubpartYesParent: Brookhaven Memorial Hospital
Authorized OfficialBrenda J FarrellVice President & Cfo · (631) 654-7175
Enumeration DateOctober 19, 2007
Last NPPES UpdateNovember 6, 2020
NPPES CertifiedNovember 6, 2020
✔ NPI 1487843090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
101 HOSPITAL ROAD, Patchogue, NY 11772

Other Names 1

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)

Long Island Community Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

89

Medicare enrollment records show 89 clinicians reassign Medicare billing to Long Island Community Hospital, 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
Psychiatry
NPI 1619918562
101 HOSPITAL RD
Patchogue, NY 11772
(613) 654-7100
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821033820
101 HOSPITAL ROAD MEDICAL CENTER
Patchogue, NY 11772
(631) 687-2953
✔ PECOSSame address
Nurse Practitioner
NPI 1376878652
101 HOSPITAL RD
Patchogue, NY 11772
(631) 654-7674
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1669637146
100 HOSPITAL RD SUITE 200
East Patchogue, NY 11772
(631) 307-9737
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1194756452
100 HOSPITAL RD
East Patchogue, NY 11772
(631) 475-6900
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1427312446
100 HOSPITAL RD
East Patchogue, NY 11772
(631) 447-3010
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1003070558
100 HOSPITAL RD SUITE 203
East Patchogue, NY 11772
(631) 475-6900
✔ PECOS✔ Accepts Medicare0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1528019403
285 SILLS ROAD BUILDING # 14
East Patchogue, NY 11772
(631) 447-8300
✔ PECOS0.2 mi
Cardiovascular Disease (Cardiology)
NPI 1124079173
285 SILLS ROAD BUILDING #14
East Patchogue, NY 11772
(631) 447-8300
✔ PECOS✔ Accepts Medicare0.2 mi
Interventional Cardiology
NPI 1366639908
285 SILLS RD BLDG 14E
East Patchogue, NY 11772
(718) 836-6600
✔ PECOS✔ Accepts Medicare0.2 mi
Cardiovascular Disease (Cardiology)
NPI 1518923135
285 SILLS RD BUILDING #14
East Patchogue, NY 11772
(631) 447-8300
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1386928265
286 SILLS RD SUITE 4
East Patchogue, NY 11772
(631) 946-6446
✔ PECOS✔ Accepts Medicare0.2 mi
Cardiovascular Disease (Cardiology)
NPI 1932165560
285 SILLS ROAD BUILDING 14
East Patchogue, NY 11772
(631) 447-8300
✔ PECOS0.2 mi
Psychiatry
NPI 1508966565
240 PATCHOGUE YAPHANK RD SUITE 211
East Patchogue, NY 11772
(631) 758-2815
✔ PECOS✔ Accepts Medicare0.4 mi
Neurology
NPI 1407857634
475 E MAIN ST STE 205
Patchogue, NY 11772
(631) 394-2550
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1205489119
325 E MAIN ST
Patchogue, NY 11772
(631) 654-3278
✔ PECOS1.7 mi
Interventional Cardiology
NPI 1033133343
325 E MAIN ST SUITE 120
Patchogue, NY 11772
(631) 654-3278
✔ PECOS✔ Accepts Medicare1.7 mi
Cardiovascular Disease (Cardiology)
NPI 1568695831
325 E MAIN ST
Patchogue, NY 11772
(718) 793-6800
✔ PECOS✔ Accepts Medicare1.7 mi
Podiatry
NPI 1568436392
33 MEDFORD AVE STE D
Patchogue, NY 11772
(631) 687-4190
✔ PECOS✔ Accepts Medicare1.8 mi
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 1487843090. It was assigned to this organization in the NPPES registry on October 19, 2007. The provider is doing business as 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) 654-7755.

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

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

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 November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.