DIABETES WELLNESS CENTER
NPI 1508003716
General Acute Care Hospital in Patchogue, NY

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

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Active since January 09, 2009

33 MEDFORD AVENUE, SUITE D, PATCHOGUE, NY 11772(631) 687-4190(631) 687-4199 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Diabetes Wellness Center NPPES

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

DIABETES WELLNESS CENTER (NPI 1508003716), doing business as Long Island Community Hospital, is a healthcare organization registered as a general acute care hospital in Patchogue, New York and active in the NPI registry since January 2009. The organization lists Brenda J Farrell, Vice President & Cfo, as its authorized official.

NPPES Registry Identity

NPI1508003716

Entity TypeOrganization

Primary Taxonomy282N00000X

Legal Business NameBROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.

Location Address33 MEDFORD AVENUE, SUITE DPatchogue, NY 11772-1222

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

Phone(631) 687-4190

Fax(631) 687-4199

Organization SubpartNo

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

Enumeration DateJanuary 9, 2009

Last NPPES UpdateJune 2, 2022

NPPES CertifiedJune 2, 2022

✔ NPI 1508003716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals

Taxonomy Code282N00000X

Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

33 MEDFORD AVENUE, Patchogue, NY 11772

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Other Names 2

Other NameDiabetes Wellness Center

Doing Business AsLong Island Community Hospital

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diabetes Wellness Center 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 Diabetes Wellness Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 39 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

Edward Kormylo, DPM

Podiatry

NPI 1568436392

33 MEDFORD AVE STE D
Patchogue, NY 11772

(631) 687-4190

✔ PECOS✔ Accepts MedicareSame address

Diane Cesario, NP

Nurse Practitioner

NPI 1205489119

325 E MAIN ST
Patchogue, NY 11772

(631) 654-3278

✔ PECOS0.1 mi

Satheesh Joseph, M.D.

Interventional Cardiology

NPI 1033133343

325 E MAIN ST SUITE 120
Patchogue, NY 11772

(631) 654-3278