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

Port Jefferson OBGYN PC

Organization Obstetrics & Gynecology Physician · NPI 1073689477

Port Jefferson OBGYN PC is an Obstetrics & Gynecology Physician in Port Jefferson, New York. Registered with an NPI since 2006.

In the registry since
2006
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

640 Belle Terre Rd Bldg D
Port Jefferson, NY 11777-1936
Phone: (631) 928-0720
Fax: (631) 928-8620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1073689477
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Makowski — Partner · (631) 928-0720
NPI enumeratedNovember 28, 2006
Last updated in NPPESAugust 22, 2020
Mailing address640 Belle Terre Road, Bldg D, Port Jefferson, NY 11777-1936

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