NPIMap

Organization Active NPI

Brookhaven Memorial Hospital

  • General Acute Care Hospital
  • East Patchogue, NY
National Provider Identifier
1881015758
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
BROOKHAVEN MEMORIAL HOSPITAL
Practice address
100 Hospital Rd
Suite 201
East Patchogue, NY 11772-8809
Phone
(631) 447-3010
Fax
(631) 447-3012
NPI assigned
Dec 19, 2013
Last updated
Dec 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Dr. Bernadette Roseanne Diegnan, D.O.
Title
Radiology Resident
Phone
(315) 885-7926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NY Primary

Addresses

Primary practice location

100 Hospital Rd
Suite 201
East Patchogue, NY 11772-8809

Mailing address

100 Hospital Rd
Suite 201
East Patchogue, NY 11772-8809
Phone (631) 447-3010

National Provider Directory

National Provider Directory
Tax ID family
Brookhaven Emer Med Ass13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

100 Hospital Rd
Ste 201
East Patchogue, NY 11772
Phone (631) 447-3010

NPI Registry JSON

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1881015758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "address_2": "SUITE 201",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728809",
            "telephone_number": "631-447-3010",
            "fax_number": "631-447-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "address_2": "SUITE 201",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728809",
            "telephone_number": "631-447-3010",
            "fax_number": "631-447-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "DIEGNAN",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "ROSEANNE",
        "authorized_official_title_or_position": "RADIOLOGY RESIDENT",
        "authorized_official_telephone_number": "315-885-7926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.