Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PORT JEFF MEDICAL CARE, PC
Active OrganizationPORT JEFF MEDICAL CARE, PC is a Nephrology organization located in PORT JEFFERSON STATION, New York. NPI 1215952072 is currently active in the NPPES registry. Verify at CMS.
Nephrology · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1215952072
- Provider Type
- Organization
- NPI Issued
- Jul 13, 2006 (20.103455674527 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
200407 (NY)178674 (NY)
Practice Information
- Address
-
410 HALLOCK AVEPORT JEFFERSON STATION, NY, 117761232Browse NY providers · Browse ZIP 11776
- Phone
- 6316421100
- Fax
- 6316421190
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.