NPIMap

Organization Active NPI

Brunswick Hospital Center, Inc

  • Psychiatric Hospital
  • Amityville, NY
National Provider Identifier
1194748368
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
BRUNSWICK HOSPITAL CENTER, INC
Practice address
81 Louden Ave
Amityville, NY 11701-2711
Phone
(631) 789-7225
Fax
(631) 789-4929
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Harvey Gerald Gersten
Title
Chief Financial Officer
Phone
(631) 789-5758

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 6423021 NY
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

81 Louden Ave
Amityville, NY 11701-2711

Mailing address

81 Louden Ave
Amityville, NY 11701-2711
Phone (631) 789-5758

Other identifiers 1

IdentifierTypeStateIssuer
00743077MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040324001195 NY Part B Supplier - Clinic/Group Practice 1355232570 Receives reassigned benefits from 1 practitioner
Practice locations: Amityville, NY
O20110125000011 NY Part A Provider - Hospital 1355232570 Practice locations: Amityville, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194748368. Details of each certification follow.

Hospital certification: CCN 334026

Legal name
BRUNSWICK HOSPITAL CENTER INC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Jul 1, 1966
Last certification
Mar 7, 2025
Beds
146
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Jan 1, 1887 in NY
Enrollment address
81 Louden Ave
Amityville, NY 11701-2736
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Brunswick Hospital Center, Inc.CCN 334026 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0155852Brunswick Hospital Center81 Louden Avenue, Amityville, NY 11701Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Brunswick Hall House St2 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.

Interoperability endpoints

  • Direct secure messaging: ehr-direct@brunswick.hin.us

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amarjit Singh Individual 5% Or Greater Direct Ownership Interest Oct 17, 2007 100%
Corporate Officer Oct 1, 2010 100%
W-2 Managing EmployeeCeo Oct 17, 2007 100%
Jasjit Singh Individual Other Jan 1, 2015
Sandip Singh Individual Other Jan 1, 2015
Nahid Akter Individual Corporate DirectorDirector Jan 1, 2020
W-2 Managing EmployeeDirector Jan 1, 2020
Harvey Gerald Gersten Individual Corporate OfficerCfo Jan 1, 2010
W-2 Managing EmployeeCfo Jan 7, 2002

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1194748368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 LOUDEN AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012711",
            "telephone_number": "631-789-5758",
            "fax_number": "631-789-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 LOUDEN AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012711",
            "telephone_number": "631-789-7225",
            "fax_number": "631-789-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK HOSPITAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "GERSTEN",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "GERALD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "631-789-5758"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NY",
            "license": "6423021",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00743077",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.