JOHN T. MATHER MEMORIAL HOSPITAL NPI 1396834750

NPI Information

NPI: 1396834750
Provider Name: JOHN T. MATHER MEMORIAL HOSPITAL
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
75 N COUNTRY RD
PORT JEFFERSON, NY
ZIP 11777
Phone: (631) 473-1320
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JOHN T. MATHER MEMORIAL HOSPITAL is an adult health nurse practitioner in Port Jefferson, NY. JOHN T. MATHER MEMORIAL HOSPITAL NPI is 1396834750. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

75 N COUNTRY RD
PORT JEFFERSON, NY
ZIP 11777-119
Phone: (631) 473-1320
Fax: (631) 686-7693

The provider's authorized official is Frank Lettera .
The authorized official title is Vice President Finance and has the following contact phone number (631) 473-1320.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/24/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W32601	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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