Organization Active NPI

Branch Medical Associates, P.C.

  • Internal Medicine Physician
  • Smithtown, NY
National Provider Identifier
1336157940
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BRANCH MEDICAL ASSOCIATES, P.C.
Practice address
267 E Main St
Building a
Smithtown, NY 11787-2874
Phone
(631) 724-2000
Fax
(631) 724-3967
NPI assigned
Aug 3, 2006
Last updated
Oct 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
Jean Piotrowski
Title
Office Manager
Phone
(631) 724-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

267 E Main St
Building a
Smithtown, NY 11787-2874

Mailing address

267 E Main St
Building a
Smithtown, NY 11787-2874
Phone (631) 724-2000

Other identifiers 1

IdentifierTypeStateIssuer
00696259MedicaidNY

National Provider Directory

National Provider Directory

Locations

267 E Main St
Bldg A
Smithtown, NY 11787
Phone (631) 724-2000

267 E Middle Country Rd
Smithtown, NY 11787
Phone (631) 366-0969

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1336157940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 E MAIN ST",
            "address_2": "BUILDING A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872874",
            "telephone_number": "631-724-2000",
            "fax_number": "631-724-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 E MAIN ST",
            "address_2": "BUILDING A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872874",
            "telephone_number": "631-724-2000",
            "fax_number": "631-724-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCH MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "PIOTROWSKI",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-724-2000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00696259",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

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