PORT JEFFERSON OBGYN PC NPI 1073689477

NPI Information

  • NPI: 1073689477
  • Provider Name: PORT JEFFERSON OBGYN PC
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 640 BELLE TERRE ROAD
    BLDG D
    PORT JEFFERSON, NY
    ZIP 11777
  • Phone: (631) 928-0720

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NPI Details

PORT JEFFERSON OBGYN PC is an obstetrics gynecology in Port Jefferson, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PORT JEFFERSON OBGYN PC NPI is 1073689477. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

640 BELLE TERRE ROAD
BLDG D
PORT JEFFERSON, NY
ZIP 11777-936
Phone: (631) 928-0720
Fax: (631) 928-8620

The provider's authorized official is Philip J Makowski .
The authorized official title is Partner and has the following contact phone number (631) 928-0720.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/22/2020.

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
1207V00000XObstetrics & GynecologyYes

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: 11/21/2025

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