Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John T. Mather Memorial Hospital

Organization Diagnostic Radiology Physician · NPI 1194812479

John T. Mather Memorial Hospital is a Diagnostic Radiology Physician in Port Jefferson, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

120 N Country Rd
Port Jefferson, NY 11777-2604
Phone: (631) 473-1320
Fax: (631) 686-7972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1194812479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Wisnoski — Vice President Finance · (631) 473-1320
NPI enumeratedOctober 6, 2006
Last updated in NPPESApril 29, 2015
Mailing address625 Belle Terre Rd, Suite 100, Port Jefferson, NY 11777-2316

Other providers in Port Jefferson