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

Port Jeff Medicine, PC

Organization Internal Medicine Physician · NPI 1346770484

Port Jeff Medicine, PC is an Internal Medicine Physician in Port Jeff Sta, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
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

2 Medical Dr Ste D
Port Jeff Sta, NY 11776-1598
Phone: (631) 331-5010
Fax: (631) 331-5017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 196816 (NY)

Record details

NPI number1346770484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deepti Gupta — President/Owner · (631) 331-5010
NPI enumeratedJune 12, 2017
Last updated in NPPESJune 19, 2017
Mailing address2 Medical Dr Ste D, Port Jefferson Station, NY 11776-1598

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