Active NPI
Brooke L Pitta
- Specialist
- Brightwaters, NY
National Provider Identifier
1801359757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 485 Lombardy Blvd
Brightwaters, NY 11718-1007 - Phone
- (631) 398-8386
- NPI assigned
- Apr 8, 2019
- Last updated
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
485 Lombardy Blvd
Brightwaters, NY 11718-1007
Mailing address
485 Lombardy Blvd
Brightwaters, NY 11718-1007
Phone (631) 398-8386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1801359757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 LOMBARDY BLVD",
"city": "BRIGHTWATERS",
"state": "NY",
"postal_code": "117181007",
"telephone_number": "631-398-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 LOMBARDY BLVD",
"city": "BRIGHTWATERS",
"state": "NY",
"postal_code": "117181007",
"telephone_number": "631-398-8386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTA",
"first_name": "BROOKE",
"middle_name": "L",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-08",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brightwaters, NY
- North Shore Long Island Jewish Healthcare Inc. (Island Gynecologic Oncology)
- Debra O'Keefe
- Denise Pace, MS, CCC-SLP, TSHH
- Priscilla Pavai, PT
- Physical Medicine & Rehabilitation of Long Island
- Paulinder Singh Rai, DO, MPH
- Alexandria Renieris
- Wyneice Rochester, LPN
- Larissa M Rosa, LMHC
- Linda Ann Schiavone, LCSW-R
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.