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

John T. Mather Memorial Hospital

Organization Nurse Practitioner · NPI 1821185109

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

In the registry since
2006

Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 473-1320
Fax: (631) 686-7972
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1821185109
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