Brookhaven Cardiac LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

BROOKHAVEN CARDIAC LLC

Practice address

475 E Main St
Suite 205
Patchogue, NY 11772-3121

Phone

(631) 654-2386

Fax

(631) 447-3852

NPI assigned

Nov 2, 2006

Last updated

Nov 4, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Soma Pulipati, MDNPI 1295737187

Title

MD

Phone

(631) 654-2386

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Soma N Pulipati, MD

  • Cardiovascular Disease Physician
  • Patchogue, NY
  • NPI 1295737187
  Authorized official Same address or phone
• Pina R Patel- Pulipati, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Patchogue, NY
  • NPI 1760653117
  NPD (past)
• Ravi Chandra Pulipati, MD

  • Vascular Surgery Physician
  • Patchogue, NY
  • NPI 1487810305
  NPD (past)
• Dominique Mia Muhs, RPA-C

  • Physician Assistant
  • Asheville, NC
  • NPI 1245488360
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1821177981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "SUITE 205",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-654-2386",
            "fax_number": "631-447-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "SUITE 205",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-654-2386",
            "fax_number": "631-447-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN CARDIAC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "PULIPATI",
        "authorized_official_first_name": "SOMA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-654-2386",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridge the Gap ABA
• Allyson Brodsky-Matwey, OTR/L
• Heather B Bromberg
• Brookhaven Anesthesia Associates
• Brookhaven Anesthesia Associates, LLP
• Brookhaven Family Medicine
• Brookhaven Heart PLLC
• Brookhaven Mem Hosp-Nuc C
• Brookhaven Memorial Hosp Psych
• Brookhaven Memorial Hospital

• Cardiovascular Disease Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.