Organization Active NPI

Briarwood Medical Practice PC

  • Internal Medicine Physician
  • Dix Hills, NY
National Provider Identifier
1780036228
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BRIARWOOD MEDICAL PRACTICE PC
Practice address
164 Weeks Dr
Dix Hills, NY 11746-6216
Phone
(718) 739-8807
NPI assigned
Jul 8, 2016
Last updated
Jul 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Dr. Lloyd Sookhu, MDNPI 1326126392
Title
Owner
Phone
(718) 739-8807

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

164 Weeks Dr
Dix Hills, NY 11746-6216

Mailing address

164 Weeks Dr
Dix Hills, NY 11746-6216

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170726000596 NY Part B Supplier - Clinic/Group Practice 5092085977 Receives reassigned benefits from 3 practitioners
Practice locations: Garden City, NY; New Hyde Park, NY; Jamaica, NY; Manhasset, NY

National Provider Directory

National Provider Directory

Locations

901 Stewart Ave
Ste 202
Garden City, NY 11530
Phone (516) 330-6249

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1780036228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 WEEKS DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 WEEKS DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466216",
            "telephone_number": "718-739-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIARWOOD MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "SOOKHU",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-739-8807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.