South Brookhaven Obstetric & Gynecologic Associates PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

SOUTH BROOKHAVEN OBSTETRIC & GYNECOLOGIC ASSOCIATES PC

Practice address

444 W Main St
Patchogue, NY 11772-3012

Phone

(631) 475-5250

Fax

(631) 475-9536

NPI assigned

Feb 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Daphna Kilion, M.D.NPI 1528159829

Title

President

Phone

(631) 475-5250

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Daphna Kilion, MD

  • Gynecology Physician
  • Patchogue, NY
  • NPI 1528159829
  Authorized official Same address or phone

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1386884633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 W MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723012",
            "telephone_number": "631-475-5250",
            "fax_number": "631-475-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W MAIN ST",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723012",
            "telephone_number": "631-475-5250",
            "fax_number": "631-475-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BROOKHAVEN OBSTETRIC & GYNECOLOGIC ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "KILION",
        "authorized_official_first_name": "DAPHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-475-5250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "A100001644",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Fay Solina, LCSW
• Kyung Hee Song, NP
• Kelley Sookraj
• Donna Soucy
• Sound Physicians of New York, PLLC
• South Country Opticians Inc
• South Shore Medical Solutions LLC
• South Shore Neurologic Associates PC (Brookhaven MRI)
• South Shore Neurologic Associates, PC
• South Shore Speech Pathology

• Gynecology Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Gynecology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.