John T. Mather Memorial Hospital
John T. Mather Memorial Hospital is a Psychiatric Hospital Unit in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2005.
- Licensed in
- NY
- In the registry since
- 2005
- Specialties on file
- 5
Practice location Address checks out
75 N Country RdPort Jefferson, NY 11777-2119
Phone: (631) 473-1320
Fax: (631) 686-1459
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Acute Care Hospital (primary) | Taxonomy 282N00000X · Licence 5149000 (NY) |
|---|---|
| Psychiatric Hospital Unit | Taxonomy 273R00000X · Licence 5149000 (NY) |
| Skilled Nursing Facility | Taxonomy 314000000X · Licence 5149000 (NY) |
| Pharmacy | Taxonomy 333600000X |
| Community/Retail Pharmacy | Taxonomy 3336C0003X |
Record details
| NPI number | 1093718728 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michele Cusack — Evp & Cfo · (516) 321-6058 |
| NPI enumerated | May 27, 2005 |
| Last updated in NPPES | July 28, 2025 |
| Certification date | July 28, 2025 |
| Mailing address | 75 N Country Rd, Port Jefferson, NY 11777-2190 |