Brookhaven Memorial Hospital
Brookhaven Memorial Hospital is a healthcare organization registered as Clinic/Center in Patchogue, NY, holding Type 2 (organization) NPI 1043369721 since 2007. The authorized official on file is Anthony Shallash, Chief Medical Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043369721 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Brookhaven Memorial Hospital |
| Practice address | 101 HOSPITAL RD, Patchogue, NY, 11772 |
| Phone | 6316874001 |
| Fax | 6316874004 |
| Enumeration date | 2007-01-10 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Anthony Shallash |
|---|---|
| Title | Chief Medical Officer |
| Phone | 6316547481 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | F300787 | NY |
Copy-ready billing details
Provider: Brookhaven Memorial Hospital NPI: 1043369721 Taxonomy: 261Q00000X (Clinic/Center) Address: 101 HOSPITAL RD, Patchogue, NY, 11772
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1699767319 | Maria Knapik | Individual | Anatomic Pathology & Clinical Pathology Physician | East Patchogue, NY |
| 1285617340 | Leon Serchuk | Individual | Diagnostic Radiology Physician | Patchogue, NY |
| 1770566580 | Stephen Robinson | Individual | Diagnostic Radiology Physician | Patchogue, NY |
| 1326021163 | David Weltman | Individual | Diagnostic Radiology Physician | Patchogue, NY |
| 1225099369 | Faruq Ahmed | Individual | Internal Medicine Physician | E Patchogue, NY |
| 1023070216 | Annette Pope-Morris | Individual | Medical Physician Assistant | Patchogue, NY |
| 1962466250 | Nina Alexandrova | Individual | Internal Medicine Physician | Patchogue, NY |
| 1962443903 | Kareshma Puglisi | Individual | Physician Assistant | Patchogue, NY |
Verify this record
Cross-check NPI 1043369721 against the authoritative CMS record: view Brookhaven Memorial Hospital on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Brookhaven Memorial Hospital?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2020-08-22.