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

Port Jefferson ASC, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1881134815

Port Jefferson ASC, LLC is an Ambulatory Surgical Clinic/Center in Port Jefferson Station, New York. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1500 Route 112 Bldg 3
Port Jefferson Station, NY 11776
Phone: (720) 287-5362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1881134815
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Austin — Manager · (631) 828-5555
NPI enumeratedFebruary 23, 2017
Last updated in NPPESJuly 20, 2018
Mailing address1500 Route 112 Bldg 3, Port Jefferson Station, NY 11776-8054

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