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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: November 01, 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, 2028, 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
Open in Google Maps ↗

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

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 Heart Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

32

Medicare enrollment records show 32 clinicians reassign Medicare billing to Brookhaven Heart PLLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Nurse Practitioner10
Family Practice7
Internal Medicine6
Cardiovascular Disease (Cardiology)4
Interventional Cardiology2
Allergy/Immunology1
Infectious Disease1
Neurology1

Nearest to this location (20)

See all 32
Diane Cesario, NP
Nurse Practitioner
NPI 1205489119
325 E MAIN ST
Patchogue, NY 11772
(631) 654-3278
✔ PECOSSame address
Satheesh Joseph, M.D.
Interventional Cardiology
NPI 1033133343
325 E MAIN ST SUITE 120
Patchogue, NY 11772
(631) 654-3278
✔ PECOS✔ Accepts MedicareSame address
Adam Kruger, D.O.
Cardiovascular Disease (Cardiology)
NPI 1568695831
325 E MAIN ST
Patchogue, NY 11772
(718) 793-6800
✔ PECOS✔ Accepts MedicareSame address
Bimal Patel, MD
Cardiovascular Disease (Cardiology)
NPI 1871729566
325 E MAIN ST SUITE 120
Patchogue, NY 11772
(631) 654-3278
✔ PECOS✔ Accepts MedicareSame address
Saurin Patel, M.D.
Interventional Cardiology
NPI 1245648203
325 E MAIN ST STE 120
Patchogue, NY 11772
(631) 654-3278
✔ PECOS✔ Accepts MedicareSame address
Wasiq Rahman, MD
Cardiovascular Disease (Cardiology)
NPI 1407083454
325 E MAIN ST SUITE 120
Patchogue, NY 11772
(631) 654-3278
✔ PECOS✔ Accepts MedicareSame address
Stephanie Ramdeen, NP
Nurse Practitioner
NPI 1942679469
325 E MAIN ST SUITE 120
Patchogue, NY 11772
(631) 654-3278
✔ PECOS✔ Accepts MedicareSame address
Afsoon Razavi, MD
Internal Medicine
NPI 1447812482
325 E MAIN ST STE 120
Patchogue, NY 11772
(631) 654-3278
✔ PECOS✔ Accepts MedicareSame address
Deepu Alexander, M.D.
Cardiovascular Disease (Cardiology)
NPI 1275728560
325 E MAIN ST SUITE 120
Patchogue, NY 11772
(631) 654-3278
✔ PECOS✔ Accepts MedicareSame address
Troy Dickinson, DO
Family Practice
NPI 1619064060
475 E MAIN ST
Patchogue, NY 11772
(631) 394-2550
✔ PECOS✔ Accepts Medicare0.3 mi
Jacob Mathew, MD
Neurology
NPI 1407857634
475 E MAIN ST STE 205
Patchogue, NY 11772
(631) 394-2550
✔ PECOS✔ Accepts Medicare0.3 mi
Fazal Faroqui, DO
Internal Medicine
NPI 1154351823
450 WAVERLY AVE STE 1
Patchogue, NY 11772
(516) 769-6409
✔ PECOS✔ Accepts Medicare1.8 mi
Kimberly Barnaby, D.O.
Family Practice
NPI 1952783045
280 UNION AVE
Holbrook, NY 11741
(934) 213-4803
✔ PECOS✔ Accepts Medicare5.2 mi
Marc Cimmino, D.O.
Family Practice
NPI 1669578159
971 MONTAUK HWY
Oakdale, NY 11769
(631) 400-8400
✔ PECOS✔ Accepts Medicare6.5 mi
Kumar Mandal, M.D.
Family Practice
NPI 1689676884
2 CORACI BLVD STE 10
Shirley, NY 11967
(631) 281-2600
✔ PECOS✔ Accepts Medicare7.1 mi
Annamaria Pepitone, FNP-C
Nurse Practitioner
NPI 1003069709
2 CORACI BLVD STE 10
Shirley, NY 11967
(631) 281-2600
✔ PECOS✔ Accepts Medicare7.2 mi
Kristen Monteiro, RN
Nurse Practitioner
NPI 1477096956
1344 MIDDLE COUNTRY RD
Centereach, NY 11720
(631) 268-3010
✔ PECOS✔ Accepts Medicare7.2 mi
Michelle Maurina, NP
Nurse Practitioner
NPI 1174172803
800 MONTAUK HWY STE 8
Shirley, NY 11967
(631) 772-4646
✔ PECOS✔ Accepts Medicare7.5 mi
Krystie Manaro, FNP
Nurse Practitioner
NPI 1598259657
492 MONTAUK HWY
East Moriches, NY 11940
(631) 417-9010
✔ PECOS✔ Accepts Medicare13 mi
Blessan Thomas, MD
Family Practice
NPI 1336597103
2375 NEW YORK AVE STE B
Huntington Station, NY 11746
(516) 952-6242
✔ PECOS✔ Accepts Medicare21 mi
See all 32 clinicians

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

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, 2028
CLIA Number33D1060148
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2026
Certificate Expiration DateOctober 16, 2028
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.

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.

Is Brookhaven Heart PLLC enrolled in Medicare?

Yes. Brookhaven Heart PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brookhaven Heart PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 8 Medicare specialties reassign their Medicare billing to Brookhaven Heart PLLC. 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 (10), Family Practice (7) and Internal Medicine (6). Of these, 9 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, 2028. 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 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.