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BROOKHAVEN HEART PLLC
NPI 1639260607
Internal Medicine - Cardiovascular Disease in Patchogue, NY

Active since September 27, 2006CLIA 33D1060148 · Waiver
325 E MAIN ST STE 120, PATCHOGUE, NY 11772(631) 654-3278(631) 654-1474 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brookhaven Heart Pllc NPPES

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

BROOKHAVEN HEART PLLC (NPI 1639260607) is a healthcare organization registered as a cardiovascular disease in Patchogue, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 16, 2026, maintains a secondary practice location in East Patchogue, and lists Satheesh Joseph, President, as its authorized official.

NPPES Registry Identity

NPI1639260607
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBROOKHAVEN HEART PLLC
Location Address325 E MAIN ST STE 120Patchogue, NY 11772-3114
Mailing Address325 E Main St Ste 120Patchogue, NY 11772-3114 · (631) 654-3278 · Fax (631) 654-1474
Phone(631) 654-3278
Fax(631) 654-1474
Organization SubpartNo
Authorized OfficialSatheesh JosephPresident · (631) 654-3278
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 7, 2022
NPPES CertifiedNovember 7, 2022
✔ NPI 1639260607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 222332
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 222332 (NY)
Also ListedInternal Medicine · Magnetic Resonance Imaging (MRI)Taxonomy 207RM1200X · License 222332 (NY)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 222332 (NY)
325 E MAIN ST STE 120, Patchogue, NY 11772
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Secondary Practice Location 1

Location 1100 Hospital Rd Ste 120East Patchogue, NY 11772-4821 · Phone (631) 654-3278 · Fax (631) 654-1474

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1060148

Brookhaven Heart PLLC · Patchogue, NY
Active · expires Oct 16, 2026
CLIA Number33D1060148
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorDr. Satheesh Joseph
Laboratory Phone(631) 654-3278
Laboratory LocationBrookhaven Heart PLLC325 East Main Street, Suite 120, Patchogue, NY 11772
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. SAURIN RAMABHAI PATEL M.D.
Internal Medicine (Interventional Cardiology)
325 E MAIN ST STE 120
PATCHOGUE, NY 11772
Suffolk County (631) 654-3278
AFSOON RAZAVI MD
Internal Medicine
325 E MAIN ST STE 120
PATCHOGUE, NY 11772
Suffolk County (631) 654-3278

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 Heart PLLC's NPI number?

The NPI number for Brookhaven Heart PLLC is 1639260607. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Brookhaven Heart PLLC located?

Brookhaven Heart PLLC is located at 325 E Main St Ste 120, Patchogue, NY 11772. The listed phone number is (631) 654-3278.

What is Brookhaven Heart PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Brookhaven Heart PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1060148) is associated with this NPI, valid through October 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brookhaven Heart PLLC was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.