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

Port Jeff Medical Care, PC

Organization Internal Medicine Physician · NPI 1215952072

Port Jeff Medical Care, PC is an Internal Medicine Physician in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

410 Hallock Ave
Port Jefferson Station, NY 11776-1232
Phone: (631) 642-1100
Fax: (631) 642-1190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 178674 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 200407 (NY)

Record details

NPI number1215952072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Mormando — President/Ceo · (631) 642-2025
NPI enumeratedJuly 13, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address410 Hallock Ave, Port Jefferson Station, NY 11776-1232

Other providers in Port Jefferson Station