Brookhaven Physician Services, P. C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BROOKHAVEN PHYSICIAN SERVICES, P. C.

Practice address

100 Hospital Rd
Suite 203
East Patchogue, NY 11772-8809

Phone

(631) 475-6900

NPI assigned

Aug 20, 2007

Last updated

Jan 20, 2014By 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

Troy Dickinson, DO

Title

Authorized Official

Phone

(631) 475-6900

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sally Catherine Monahan, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Southold, NY
  • NPI 1811002868
  NPD (past)
• Nejat Zeyneloglu

  • Internal Medicine Physician
  • New York, NY
  • NPI 1356569826
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1083807572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "address_2": "SUITE 203",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728809",
            "telephone_number": "631-475-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "address_2": "SUITE 203",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728809",
            "telephone_number": "631-475-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN PHYSICIAN SERVICES, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "631-475-6900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2014; 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.