1. Home
  2. Directory
  3. New York
  4. Patchogue
  5. Physician Assistant
  6. NPI Profile

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: August 09, 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
Phone(631) 654-7755
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
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 20

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

DAVID IRA JACKSON PA
Physician Assistant
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
ALAN ISAAC NEMETH DO
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER
Radiology (Diagnostic Radiology)
101 HOSPITAL ROAD
PATCHOGUE, NY 11772
Suffolk County (631) 654-7728
CONRAD MILLER MD
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 654-7236
DIMPLE PUTHETHUKUDI GEORGE N P
Nurse Practitioner (Adult Health)
101 HOSPITAL ROAD, BROOK HAVEN HOSPITAL MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 654-7214
JASON ALLEN WINSLOW MD
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
LYNN CHRISTINE KRAMER PA
Physician Assistant
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-2953
CARL S GOODMAN DO
Emergency Medicine
101 HOSPITAL ROAD, MEDICAL CENTER
PATCHOGUE, NY 11772
Suffolk County (631) 687-7236

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.

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 5 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.