Brentwood Medical Care, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

103139 Issued in NY

Legal business name

BRENTWOOD MEDICAL CARE, PC

Practice address

232 Daly Rd
East Northport, NY 11731-6325

Phone

(631) 499-0022

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew J Viso, DC

Title

Manager

Phone

(631) 751-5588

Specialties & licenses 1

Addresses

Tax ID family

Brentwood Medical Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brentwood Medical Care, PC

  • General Practice Physician
  • Brentwood, NY
  • NPI 1417012568
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jane Mercado, PT

  • Physical Therapist
  • East Northport, NY
  • NPI 1235293283
  NPD (past)
• Amy Lea Yavoski, DC, LMT

  • Chiropractor
  • Halesite, NY
  • NPI 1841354313
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699830745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462904",
            "telephone_number": "631-427-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 DALY RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117316325",
            "telephone_number": "631-499-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VISO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-751-5588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "103139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon Andrew Borg, PHD
• Robin Bory
• Sara C Bowles, FNP
• Julia Braun, PSY.D.
• Patricia Angell Braver, MS.ED.
• Katherine Briody, LCSW
• Broadway Homecare Inc
• Seth Bunze, LMT
• Dana Mary Buonavita
• Jacqueline Burke

• Internal Medicine Physician in East Northport, NY
• Providers in East Northport, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.