Samuel Brown DO, PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

SAMUEL BROWN DO, PC

Practice address

3 Frances LN
Port Jefferson, NY 11777-1125

Phone

(631) 476-4000

Fax

(631) 629-1077

NPI assigned

Apr 20, 2021

Organization subpart

No

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

Authorized official

Name

Paul Winkler

Title

Office Manager

Phone

(631) 476-4000

Specialties & licenses 1

Addresses

Practitioners 1

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

• Samuel Pearce Brown, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Southold, NY
  • NPI 1275848970
  NPD

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1740861855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 FRANCES LN",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771125",
            "telephone_number": "631-476-4000",
            "fax_number": "631-629-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FRANCES LN",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771125",
            "telephone_number": "631-476-4000",
            "fax_number": "631-629-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL BROWN DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "WINKLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-476-4000"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisou Saffari, LMT
• Salim a Matar MD PC
• Samantha Marzano LCSW PC
• Lisa Marie Sammarco, FNP
• Christine Ann Sammy, MS
• Kelly Conrad Sanchez, LMFT
• Mark Sandberg
• Ayush Sangari
• Gerardo Alfredo Sanroman, MD
• Deborah Santos, LMT

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.