Brookhaven Memorial Hospital Medical Center, Inc.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

5123000H Issued in NY

Legal business name

BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.

Practice address

101 Hospital Rd
Patchogue, NY 11772-4870

Phone

(631) 654-7100

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Marc Adler, MD

Title

Sr. VP - Chief of Operations

Phone

(631) 654-7177

Specialties & licenses 1

Addresses

Other names 1

• Long Island Community Hospital Doing business as

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1508346248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL RD",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117724870",
            "telephone_number": "631-654-7175"
        },
        {
            "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": "631-654-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "ADLER",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "SR. VP - CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "631-654-7177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "5123000H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brookhaven Memorial Hospital Medical Center, Inc.
• Brookhaven Memorial Hospital Medical Center, Inc.
• Brookhaven Memorial Hospital Medical Center, Inc.
• Brookhaven Memorial Hospital Medical Center, Inc.
• Brookhaven Memorial Hospital Medical Center, Inc.
• Brookhaven Memorial Hospital Medical Center, Inc.
• Brookhaven Spine & Sports Chiropractic
• Brookhaven Surgical Services PC
• Brookhaven Surgical Services, P.C.
• Kimberly Brosnan

• Emergency Medical Services (Emergency Medicine) Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Emergency Medical Services (Emergency Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.