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 1336428796

John T. Mather Memorial Hospital is a Diagnostic Radiology Physician in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 473-1320
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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 · Licence 222725 (NY)

Record details

NPI number1336428796
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Wisnoski — Cfo · (631) 473-1320
NPI enumeratedAugust 16, 2011
Last updated in NPPESAugust 16, 2011
Mailing address625 Belle Terre Rd, Suite 100, Port Jefferson, NY 11777-2316

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