| Brookhaven Heart PLLC | |
|
325 E Main St Ste 120 Patchogue NY 11772-3114 | |
| (631) 654-3278 | |
| (631) 654-1474 |
| Full Name | Brookhaven Heart PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 325 E Main St Ste 120, Patchogue, New York |
| Authorized Official Name and Position | Satheesh Joseph (PRESIDENT) |
| Authorized Official Contact | 6316543278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brookhaven Heart PLLC 325 E Main St Ste 120 Patchogue NY 11772-3114 Ph: (631) 654-3278 | Brookhaven Heart PLLC 325 E Main St Ste 120 Patchogue NY 11772-3114 Ph: (631) 654-3278 |
| NPI Number | 1639260607 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 11/07/2022 |
| Certification Date | 11/07/2022 |
| Medicare PECOS PAC ID | 6305846114 |
|---|---|
| Medicare Enrollment ID | O20061229000335 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639260607 | NPI | - | NPPES |
| Provider Name | Kumar S Mandal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689676884 PECOS PAC ID: 1456322965 Enrollment ID: I20040805001084 |
| Provider Name | Nandita M Mathur Khaneja |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1629005947 PECOS PAC ID: 0345244299 Enrollment ID: I20060907000019 |
| Provider Name | Manoj Kumar Trehan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184657959 PECOS PAC ID: 3779588439 Enrollment ID: I20061002000469 |
| Provider Name | Fazal G Faroqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154351823 PECOS PAC ID: 0840295408 Enrollment ID: I20061003000659 |
| Provider Name | Satheesh Joseph |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033133343 PECOS PAC ID: 4789684598 Enrollment ID: I20061229000318 |
| Provider Name | Marc C Cimmino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669578159 PECOS PAC ID: 9537241849 Enrollment ID: I20080125000242 |
| Provider Name | Troy Dickinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619064060 PECOS PAC ID: 8820168248 Enrollment ID: I20080528000274 |
| Provider Name | Deepu Alexander |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275728560 PECOS PAC ID: 9830266907 Enrollment ID: I20080916000467 |
| Provider Name | Annamaria Pepitone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003069709 PECOS PAC ID: 1153470554 Enrollment ID: I20090514000003 |
| Provider Name | Adam L Kruger |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568695831 PECOS PAC ID: 4789878620 Enrollment ID: I20101104000417 |
| Provider Name | Jacob K Mathew |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407857634 PECOS PAC ID: 1557558079 Enrollment ID: I20101209001199 |
| Provider Name | Daniel La |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457621500 PECOS PAC ID: 9032367727 Enrollment ID: I20140730000128 |
| Provider Name | Manisha Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831596527 PECOS PAC ID: 0244551216 Enrollment ID: I20150602001932 |
| Provider Name | Jennifer L Steinberg |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043265648 PECOS PAC ID: 9133341407 Enrollment ID: I20150904000456 |
| Provider Name | Christina Marie Dalrymple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629491402 PECOS PAC ID: 2365759198 Enrollment ID: I20150911000190 |
| Provider Name | Jereesh T John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922443829 PECOS PAC ID: 8224345962 Enrollment ID: I20150914001457 |
| Provider Name | Stephanie L Ramdeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942679469 PECOS PAC ID: 5092005116 Enrollment ID: I20160602000466 |
| Provider Name | Bimal Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871729566 PECOS PAC ID: 1557652393 Enrollment ID: I20160624001092 |
| Provider Name | Wasiq Rahman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407083454 PECOS PAC ID: 1355590902 Enrollment ID: I20170629000251 |
| Provider Name | Saurin Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245648203 PECOS PAC ID: 6800113291 Enrollment ID: I20170908001709 |
| Provider Name | Gregory Beckos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922552447 PECOS PAC ID: 4981967338 Enrollment ID: I20180417001374 |
| Provider Name | Kimberly P Barnaby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952783045 PECOS PAC ID: 3678827458 Enrollment ID: I20181114000981 |
| Provider Name | Bindu Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902372329 PECOS PAC ID: 9931440286 Enrollment ID: I20190415000794 |
| Provider Name | Krystie L Manaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598259657 PECOS PAC ID: 1355676487 Enrollment ID: I20190711003241 |
| Provider Name | Lauren Patricia Berman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497222129 PECOS PAC ID: 6901138155 Enrollment ID: I20191022000236 |
| Provider Name | Michelle Darlin Maurina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174172803 PECOS PAC ID: 7911239058 Enrollment ID: I20191023000678 |
| Provider Name | Blessan Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336597103 PECOS PAC ID: 3870889256 Enrollment ID: I20191024000283 |
| Provider Name | Diane Cesario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205489119 PECOS PAC ID: 7517399140 Enrollment ID: I20191119002572 |
| Provider Name | Ci Ai Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669024691 PECOS PAC ID: 8224365374 Enrollment ID: I20200729003650 |
| Provider Name | Christi Cherian |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366954422 PECOS PAC ID: 4385062470 Enrollment ID: I20200922003175 |
| Provider Name | Nathaniel a Crow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235663568 PECOS PAC ID: 4082024039 Enrollment ID: I20201103002611 |
| Provider Name | Austin D Prince |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821768557 PECOS PAC ID: 1759770050 Enrollment ID: I20211108000815 |
| Provider Name | Steffy Stephen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548753379 PECOS PAC ID: 0143613760 Enrollment ID: I20220203000773 |
| Provider Name | Christine Canlas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578296562 PECOS PAC ID: 3779951975 Enrollment ID: I20221118002347 |
| Provider Name | Katrina Thomson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922734169 PECOS PAC ID: 5890164073 Enrollment ID: I20221209001658 |
| Provider Name | Niranjan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043487978 PECOS PAC ID: 0648318873 Enrollment ID: I20231004001347 |
| Provider Name | Matthew Nebrija |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710766431 PECOS PAC ID: 0143675025 Enrollment ID: I20231012001898 |
| Provider Name | Afsoon Razavi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447812482 PECOS PAC ID: 1355790551 Enrollment ID: I20231213002883 |
| Provider Name | Christopher Ptak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073368924 PECOS PAC ID: 3870036726 Enrollment ID: I20240619001873 |
| Provider Name | Kristen Monteiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477096956 PECOS PAC ID: 1557865664 Enrollment ID: I20250919003225 |
| Provider Name | Shalaka Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497491849 PECOS PAC ID: 1557867132 Enrollment ID: I20251002001075 |
Brookhaven Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-687-4001 Fax: 631-687-4004 |
Hospitalist Medicine Physicians of New York-tcg, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 |
Nooman Silat, MD, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 W Main St, Patchogue, NY 11772 Phone: 631-758-7866 |
Brookhaven Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Road, Patchogue, NY 11772 Phone: 631-687-6900 Fax: 631-447-5954 |
Sound Physicians of New York, PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 |
Brasil and Shinin Physicians PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Medford Avenue, Suite E, Patchogue, NY 11772 Phone: 631-207-4200 Fax: 631-205-2750 |