| Brookhaven Gastroenterology Associates, P.c. | |
|
260 Patchogue Yaphank Rd Suite C E Patchogue NY 11772-4886 | |
| (631) 289-0300 | |
| (631) 289-0402 |
| Full Name | Brookhaven Gastroenterology Associates, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 260 Patchogue Yaphank Rd, E Patchogue, New York |
| Authorized Official Name and Position | Ravi P Singh (PRESIDENT) |
| Authorized Official Contact | 6312892716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookhaven Gastroenterology Associates, P.c. 260 Patchogue Yaphank Rd Suite C E Patchogue NY 11772-4886 Ph: (631) 289-0300 | Brookhaven Gastroenterology Associates, P.c. 260 Patchogue Yaphank Rd Suite C E Patchogue NY 11772-4886 Ph: (631) 289-0300 |
| NPI Number | 1447456652 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 09/16/2021 |
| Medicare PECOS PAC ID | 3274437272 |
|---|---|
| Medicare Enrollment ID | O20031121000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447456652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | James Missig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093819484 PECOS PAC ID: 2668386285 Enrollment ID: I20031118000487 |
| Provider Name | Kevin W Sano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053334490 PECOS PAC ID: 0749185619 Enrollment ID: I20031204000030 |
| Provider Name | Huaibao Sheng |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942299516 PECOS PAC ID: 9133192156 Enrollment ID: I20040818000113 |
| Provider Name | Paul Habek |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1023039211 PECOS PAC ID: 6709831571 Enrollment ID: I20050315000059 |
| Provider Name | Rahul Bajaj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174553135 PECOS PAC ID: 2961462056 Enrollment ID: I20080927000177 |
| Provider Name | Richard E Berman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427065390 PECOS PAC ID: 4880598887 Enrollment ID: I20110112000491 |
| Provider Name | Steven I Zucker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881618049 PECOS PAC ID: 2769671395 Enrollment ID: I20110112000537 |
| Provider Name | Ravi P Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508880774 PECOS PAC ID: 5092904631 Enrollment ID: I20110112000595 |
| Provider Name | Howard J Pastrich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1336163591 PECOS PAC ID: 7113093485 Enrollment ID: I20110112000664 |
| Provider Name | Michael Reens |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639457286 PECOS PAC ID: 3173797289 Enrollment ID: I20111129000142 |
| Provider Name | Delia Calo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578722518 PECOS PAC ID: 9133348378 Enrollment ID: I20140919001491 |
| Provider Name | Calvin L Strand |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1154323533 PECOS PAC ID: 9739154519 Enrollment ID: I20150106000239 |
| Provider Name | Ajish K Pillai |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306157763 PECOS PAC ID: 6204115330 Enrollment ID: I20181106000283 |
| Provider Name | Rachana Oak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265842868 PECOS PAC ID: 7214339654 Enrollment ID: I20210708000700 |
| Provider Name | Joel Chandy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073992152 PECOS PAC ID: 8820495112 Enrollment ID: I20210929002739 |
| Provider Name | Natalie Louisa Poppito |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578213351 PECOS PAC ID: 2668489170 Enrollment ID: I20220531001035 |
| Provider Name | Christina M La Barbera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134378300 PECOS PAC ID: 3476924929 Enrollment ID: I20230120002074 |