BROOKHAVEN MRI
NPI 1083782460
Clinic/Center - Magnetic Resonance Imaging (MRI) in Patchogue, NY

NPI Status: Active since December 01, 2006

Contact Information

77 MEDFORD AVE
PATCHOGUE, NY
ZIP 11772
Phone: (631) 654-5555
Fax: (631) 475-7185

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  • Organization
  • Clinic/Center
  • Magnetic Resonance Imaging (MRI)

About BROOKHAVEN MRI

This page provides the complete NPI Profile along with additional information for Brookhaven Mri, a provider established in Patchogue, New York operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1083782460 assigned on December 2006. The practitioner's primary taxonomy code is 261QM1200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Brookhaven Mri. The authorized official of this NPI record is Dr. Henry Gerald Moreta M.d. (President)

NPI
1083782460
Provider Legal Name
SOUTH SHORE NEUROLOGIC ASSOCIATES PC
Other Organization Name
BROOKHAVEN MRI
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
77 MEDFORD AVE PATCHOGUE, NY 11772
Location Phone
(631) 654-5555
Location Fax
(631) 475-7185
Mailing Address
77 MEDFORD AVE PATCHOGUE, NY 11772
Mailing Phone
(631) 758-1910
Mailing Fax
(631) 475-7185
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2006
Last Update Date
01-06-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Magnetic Resonance Imaging (MRI)

Taxonomy Code
261QM1200X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. HENRY GERALD MORETA M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(631) 758-1910

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01259347MEDICAID (05)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083782460
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201631484412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 1 + 4 + 8 + 4 + 4 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1083782460 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104922244MS. LISA MICHELLE HODGE-SCELSA NURSE PRACTITIONER
Individual
Nurse Practitioner (Adult Health)77 MEDFORD AVE ROUTE 112
PATCHOGUE, NY 11772
(631) 758-4444
1437228632 AMY D RAFUSE PT
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 207-2370
1437222197 ELISA S PROCACCINI MSPT
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 207-2370
1508988692MR. JOHN O GRIMALDI PT
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 207-2370
1518180173MS. CATHERINE MARIE AUGUSTINE DPT
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 207-2370
1063717833 DANIELLE M BOUSQUET
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 758-1910
1871862581MR. KEITH FRANCIS LEVINSON DPT
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 207-2370
1578833794 LAURA RODRIGUEZ DPT
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 207-2370
1346524519MS. LAURA A. BUCK N.P.
Individual
Nurse Practitioner (Adult Health)77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 758-1910
1437574175MRS. JENNA JOY KENNEDY DPT
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 758-1910
1114318219 JUSTINE HOFFMANN DPT
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 758-1910
1396071262MS. STACY LYNN TREBING P.T.
Individual
Physical Therapist77 MEDFORD AVE ROUTE 112
PATCHOGUE, NY 11772
(631) 758-1910
1417405879 NICHOLAS J FROISETH DPT
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 758-1910
1730604752 DANIEL THOMAS IPPOLITO ANP
Individual
Nurse Practitioner (Adult Health)77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 666-3951
1659880474 WILLIAM EAGEN
Individual
Physical Therapy Assistant77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 207-2370
1790299196 CHRISTINA A MELLI DPT
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 758-1910
1083195895 STEPHANIE LAUREN VANSCHAICK DPT
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 758-1910
1861968372 NICOLE M AQUINO DPT
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 758-1910
1518512581 WENDY DOROSKI NP
Individual
Nurse Practitioner (Adult Health)77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 758-1910
1841835808 BRIAN CONNELL PT
Individual
Physical Therapist77 MEDFORD AVE
PATCHOGUE, NY 11772
(631) 758-1910

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083782460, enumerated in the NPI registry as an "organization" on December 01, 2006

The provider is located at 77 Medford Ave Patchogue, Ny 11772 and the phone number is (631) 654-5555

This medical organization specializes in Clinic/Center with taxonomy code 261QM1200X with a focus in Magnetic Resonance Imaging (MRI)

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.