Integrative Medicine of Brookhaven P.C.
NPI 1336647213 · Family Medicine Physician · Port Jefferson Station, NY
Integrative Medicine of Brookhaven P.C. is a Family Medicine Physician organization in Port Jefferson Station, NY (NPI 1336647213).
Provider details
- NPI number
- 1336647213
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dimos Kanakoudas, Owner/Medical Director(646) 824-1380
- License
- 257261 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 59 Merrick Rd Ste BAmityville, NY 11701-3453Phone: (646) 824-1380
- 2848 Middle Country RdLake Grove, NY 11755-2104Phone: (631) 780-5550
Registry dates
- Enumerated
- 2018-01-25
- Last updated
- 2021-03-14
- Certified
- 2021-03-14
Frequently asked questions
- What is Integrative Medicine of Brookhaven P.C.'s NPI number?
- Integrative Medicine of Brookhaven P.C.'s National Provider Identifier (NPI) is 1336647213, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Integrative Medicine of Brookhaven P.C.?
- Integrative Medicine of Brookhaven P.C. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Integrative Medicine of Brookhaven P.C. located?
- Integrative Medicine of Brookhaven P.C.'s practice location on file with NPPES is 59 Nesconset Hwy Fl 2, Port Jefferson Station, NY 11776-2628.
- What is Integrative Medicine of Brookhaven P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Integrative Medicine of Brookhaven P.C. is (646) 824-1380.
- Who is the authorized official for Integrative Medicine of Brookhaven P.C.?
- The authorized official listed on Integrative Medicine of Brookhaven P.C.'s NPPES record is Dimos Kanakoudas, Owner/Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Integrative Medicine of Brookhaven P.C.'s NPI active?
- Yes — Integrative Medicine of Brookhaven P.C.'s NPI (1336647213) is active in the NPPES registry as of the last update on 2021-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.