Active NPI
Brasil & Shinin Physicians PC
- Internal Medicine Physician
- Patchogue, NY
National Provider Identifier
1972783348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 221648
- Legal business name
- BRASIL & SHININ PHYSICIANS PC
- Practice address
- 33 Medford Ave
Suite E
Patchogue, NY 11772-1225 - Phone
- (631) 207-4200
- Fax
- (631) 207-4200
- NPI assigned
- Nov 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nancy Brasil-Kolich, MD
- Title
- President
- Phone
- (631) 207-4200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 238120 | NY | |
| Internal Medicine Physician | 207R00000X | 221648 | NY | Primary |
Addresses
Primary practice location
33 Medford Ave
Suite E
Patchogue, NY 11772-1225
Mailing address
33 Medford Avenue
Suite E
Patchogue, NY 11772-1225
Phone (631) 207-4200
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194998400000",
"number": "1972783348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 MEDFORD AVENUE",
"address_2": "SUITE E",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721225",
"telephone_number": "631-207-4200",
"fax_number": "631-207-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MEDFORD AVE",
"address_2": "SUITE E",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117721225",
"telephone_number": "631-207-4200",
"fax_number": "631-207-4200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRASIL & SHININ PHYSICIANS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-14",
"last_updated": "2007-11-14",
"status": "A",
"authorized_official_last_name": "BRASIL-KOLICH",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-207-4200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "238120",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "221648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.