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

John T. Mather Memorial Hospital

Organization Neuromusculoskeletal Medicine & OMM Physician · NPI 1285920231

John T. Mather Memorial Hospital is a Neuromusculoskeletal Medicine & OMM Physician in Port Jefferson, New York. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 473-1320
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary) Taxonomy 204D00000X

Record details

NPI number1285920231
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Wisnoski — Cfo · (631) 473-1320
NPI enumeratedJune 28, 2011
Last updated in NPPESJune 28, 2011
Mailing address625 Belle Terre Rd, Suite100, Port Jefferson, NY 11777-2316