LONG ISLAND BONE AND JOINT NPI 1740241884

NPI Information

  • NPI: 1740241884
  • Provider Name: LONG ISLAND BONE AND JOINT
  • Classification: Orthopaedic Surgery - 207X00000X
  • Entity Type: Organization
  • Other Name: PORT JEFFERSON SPECIALTY
  • Address: 635 BELLE TERRE RD
    SUITE #204
    PORT JEFFERSON, NY
    ZIP 11777
  • Phone: (631) 474-0008

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NPI Details

LONG ISLAND BONE AND JOINT is an orthopaedic surgery in Port Jefferson, NY. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. LONG ISLAND BONE AND JOINT NPI is 1740241884. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Port Jefferson Specialty.

The provider's business location address is:

635 BELLE TERRE RD
SUITE #204
PORT JEFFERSON, NY
ZIP 11777-935
Phone: (631) 474-0008
Fax: (631) 474-0224

The provider's authorized official is Kristen Poje .
The authorized official title is Administrator and has the following contact phone number (631) 474-0008.

The enumeration date for this NPI number is 3/29/2006 and was last updated on 1/28/2015.

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
1207X00000XOrthopaedic SurgeryYes

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
1D91916MEDICARE UPINNEW YORK
2341171MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
3556G31MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
4G68749MEDICARE UPINNEW YORK
505F711MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
63R4961MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
7C08816MEDICARE UPINNEW YORK
8WX0221MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
91286620002MEDICARE NSC
10H13342MEDICARE UPINNEW YORK
11H41912MEDICARE UPINNEW YORK
12F22448MEDICARE UPINNEW YORK
13404F31MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
1479G771MEDICARE ID-TYPE UNSPECIFIEDNEW 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: 11/21/2025

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