NPIMap

Organization Active NPI

Brookhaven Heart PLLC

  • Cardiovascular Disease Physician
  • Patchogue, NY
National Provider Identifier
1639260607
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
222332 Issued in NY
Legal business name
BROOKHAVEN HEART PLLC
Practice address
325 E Main St Ste 120
Patchogue, NY 11772-3114
Phone
(631) 654-3278
Fax
(631) 654-1474
NPI assigned
Sep 27, 2006
Last updated
Nov 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Satheesh Joseph, MDNPI 1033133343
Title
President
Phone
(631) 654-3278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 222332 NY
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 222332 NY Primary
Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RM1200X 222332 NY
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X 222332 NY

Addresses

Primary practice location

325 E Main St Ste 120
Patchogue, NY 11772-3114

Mailing address

325 E Main St Ste 120
Patchogue, NY 11772-3114
Phone (631) 654-3278

Other practice location 1

100 Hospital Rd Ste 120
East Patchogue, NY 11772-4821
Phone (631) 654-3278

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jshea@brookhavenheart.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061229000335 NY Part B Supplier - Clinic/Group Practice 6305846114 Receives reassigned benefits from 41 practitioners
Practice locations: Patchogue, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1060148Brookhaven Heart PLLC325 East Main Street, Suite 120, Patchogue, NY 11772Certificate of waiverOct 16, 2026

National Provider Directory

National Provider Directory

Locations

100 Hospital Rd
Ste 120
East Patchogue, NY 11772
Phone (631) 654-3278

325 E Main St
Ste 120
Patchogue, NY 11772
Phone (631) 654-3278

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEFCAA
  • Direct secure messaging: jshea@brookhavenheart.com

Practitioners & affiliated clinicians

Practitioners 45

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.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1639260607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST STE 120",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723114",
            "telephone_number": "631-654-3278",
            "fax_number": "631-654-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E MAIN ST STE 120",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723114",
            "telephone_number": "631-654-3278",
            "fax_number": "631-654-1474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hospital Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "East Patchogue",
            "state": "NY",
            "postal_code": "117724821",
            "country_code": "US",
            "telephone_number": "631-654-3278",
            "fax_number": "631-654-1474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROOKHAVEN HEART PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "SATHEESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-654-3278",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "222332",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "222332",
            "primary": true
        },
        {
            "code": "207RM1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": "NY",
            "license": "222332",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "222332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshea@brookhavenheart.com",
            "affiliation": "N",
            "address_1": "325 E Main St Ste 120",
            "city": "Patchogue",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117723114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.