Patchogue Pediatrics PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PATCHOGUE PEDIATRICS PC

Practice address

264 Sills Rd
East Patchogue, NY 11772-8804

Phone

(631) 504-6261

Fax

(631) 504-6263

NPI assigned

Aug 16, 2013

Last updated

Aug 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Audrey A Chong-Gayle, MDNPI 1689966343

Title

President

Phone

(631) 504-6261

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Audrey Chong-Gayle, M.D

  • Pediatrics Physician
  • Islip, NY
  • NPI 1689966343
  NPD (past) Authorized official
• Erica Ercolani, PA

  • Physician Assistant
  • East Patchogue, NY
  • NPI 1811368962
  NPD (past)
• Dana Anne Vecchio, NP

  • Nurse Practitioner
  • East Patchogue, NY
  • NPI 1083809222
  NPD (past)

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1396178000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 SILLS RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728804",
            "telephone_number": "631-504-6261",
            "fax_number": "631-504-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 SILLS RD",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728804",
            "telephone_number": "631-504-6261",
            "fax_number": "631-504-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHOGUE PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "CHONG-GAYLE",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-504-6261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02022351",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina M Parsloe, O.D.
• Louis T Pastore, MD
• Patchogue Cardiology Associates PC (Long Island Cardiology Associates)
• Patchogue Family Dental, PC
• Patchogue Orthodontics, PC
• Bhavik Patel
• Mitul R Patel, M.D.
• Nalinikant K. Patel, M.D.
• Preeya Patel
• Brooke Patterson, PT, DPT

• Pediatrics Physician in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.