Brookhaven Surgical Services, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BROOKHAVEN SURGICAL SERVICES, P.C.

Doing business as

Brookhaven Breast Health Services

Practice address

100 Hospital Rd
East Patchogue, NY 11772-8809

Phone

(631) 687-4022

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Craig Ordway, MD

Title

Owner

Phone

(631) 687-4022

Specialties & licenses 1

Addresses

Other names 1

• Brookhaven Breast Health Services Doing business as

Tax ID family

Brookhaven Bariatric and Wellness Program2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brookhaven Surgical Services, P.C.

  dba Brookhaven Bariatric and Wellness Program

  • Surgery Physician
  • Patchogue, NY
  • NPI 1740514389
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1013242353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728809",
            "telephone_number": "631-687-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728809",
            "telephone_number": "631-687-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN SURGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "ORDWAY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-687-4022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookhaven Breast Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brookhaven Memorial Hospital
• Brookhaven Nephrology Associates, P.C.
• Brookhaven Orthopedic Associates MD PC (Dba Orthopedic Therapy)
• Brookhaven Physical Medicine and Rehabilitation, P.C.
• Brookhaven Physician Services, P. C.
• Brookhaven Women's Imaging Services
• Kristin Mazzeo Brown, M.S. CCC-SLP
• Lesley-Anne Theresa Brown, N. P.
• Stephen Joseph Brown, LCSW-R
• Patricia Brozinsky, PH.D., LCSW-R

• Surgery Physician in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.