Organization Active NPI

Brasil and Shinin Physicians PC

  • Internal Medicine Physician
  • Patchogue, NY
National Provider Identifier
1194915686
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BRASIL AND SHININ PHYSICIANS PC
Practice address
33 Medford Avenue
Suite E
Patchogue, NY 11772-1225
Phone
(631) 207-4200
Fax
(631) 205-2750
NPI assigned
Jul 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Nancy Pereira Brasil Kolich, MD
Title
Partner of Organization
Phone
(631) 745-5847

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

33 Medford Avenue
Suite E
Patchogue, NY 11772-1225

Mailing address

33 Medford Avenue
Suite E
Patchogue, NY 11772-1225
Phone (631) 207-4200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1194915686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MEDFORD AVENUE",
            "address_2": "SUITE E",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721225",
            "telephone_number": "631-207-4200",
            "fax_number": "631-205-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MEDFORD AVENUE",
            "address_2": "SUITE E",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721225",
            "telephone_number": "631-207-4200",
            "fax_number": "631-205-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRASIL AND SHININ PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "BRASIL KOLICH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "PEREIRA",
        "authorized_official_title_or_position": "PARTNER OF ORGANIZATION",
        "authorized_official_telephone_number": "631-745-5847",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.