NPIMap

Organization Active NPI

Brookhaven Mem Hosp-Nuc C

  • General Acute Care Hospital
  • Patchogue, NY
National Provider Identifier
1225218456
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
5123000H Issued in NY
Legal business name
BROOKHAVEN MEM HOSP-NUC C
Practice address
101 Hospital Rd
Patchogue, NY 11772-4870
Phone
(631) 654-7243
Fax
(631) 687-2842
NPI assigned
Nov 5, 2007
Last updated
Jan 14, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
BROOKHAVEN MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Scott Mathesie
Title
Revenue Cycle Manager
Phone
(631) 687-5427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 5123000H NY Primary

Addresses

Primary practice location

101 Hospital Rd
Patchogue, NY 11772-4870

Mailing address

PO Box 22073
Albany, NY 12201-2073
Phone (631) 654-7243

National Provider Directory

National Provider Directory
Tax ID family
Brookhaven Emer Med Ass13 organizations share this tax ID, including this one
Part of
Brookhaven Emer Med Ass

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1225218456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22073",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122012073",
            "telephone_number": "631-654-7243",
            "fax_number": "631-687-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL RD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117724870",
            "telephone_number": "631-654-7243",
            "fax_number": "631-687-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN MEM HOSP-NUC C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKHAVEN MEMORIAL HOSPITAL",
        "enumeration_date": "2007-11-05",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "MATHESIE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "631-687-5427"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "5123000H",
            "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 Jan 14, 2008; 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.