Brookhaven Surgical Services PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BROOKHAVEN SURGICAL SERVICES PC

Practice address

100 Hospital Rd
Suite 106
Patchogue, NY 11772-8809

Phone

(631) 475-8846

Fax

(631) 475-8800

NPI assigned

Dec 19, 2007

Last updated

Jan 10, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Brenda J Farrell

Title

Cfo

Phone

(631) 654-7175

Specialties & licenses 2

Addresses

Part of

Brookhaven Emergecny PH

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Brookhaven Memorial Hospital Medical Center

  dba Brookhaven Memorial Hospital Bellport Primary Care Center Physicians

  • Family Medicine Physician
  • Bellport, NY
  • NPI 1184041899

  Member Of

  NPD member

Locations

Practitioners 5

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.

• Alexios Apazidis, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Saint Albans, NY
  • NPI 1245494368
  NPD (past)
• Craig B Ordway, MD

  • Specialist
  • Northport, NY
  • NPI 1063541472
  NPD (past)
• Louis C Romeo, M.D

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Riverhead, NY
  • NPI 1922049089
  NPD (past)
• Mohammed N. Islam, MD

  • Vascular Surgery Physician
  • Indiana, PA
  • NPI 1750488631
  NPD (past)
• Regis Louis Renard, MD

  • Orthopaedic Trauma Physician
  • Little Rock, AR
  • NPI 1730385741
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1316121973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "address_2": "SUITE 106",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117728809",
            "telephone_number": "631-475-8846",
            "fax_number": "631-475-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "address_2": "SUITE 106",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117728809",
            "telephone_number": "631-475-8846",
            "fax_number": "631-475-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN SURGICAL SERVICES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER",
        "enumeration_date": "2007-12-19",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "631-654-7175"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookhaven Memorial Hospital Medical Center, Inc. (Long Island Community Hospital)
• Brookhaven Memorial Hospital Medical Center, Inc. (Long Island Community Hospital)
• Brookhaven Memorial Hospital Medical Center, Inc. (Long Island Community Hospital)
• Brookhaven Memorial Hospital Medical Center, Inc. (Long Island Community Hospital)
• Brookhaven Spine & Sports Chiropractic
• Brookhaven Surgical Services, P.C. (Brookhaven Bariatric and Wellness Program)
• Kimberly Brosnan
• Rohawne Brown, LPN
• Linda Marie Bruno, LCSW
• Christina Brunquell, LPN

• Surgery Physician in Patchogue, NY
• Providers in 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 Jan 10, 2018; 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.