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

Port Jefferson Pediatrics

Organization Pediatrics Physician · NPI 1609994722

Port Jefferson Pediatrics is a Pediatrics Physician in Port Jefferson Station, New York. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

12 Medical Dr
Port Jefferson Station, NY 11776-1588
Phone: (631) 331-1710
Fax: (631) 331-9069
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1609994722
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Kaplan — Doctor · (631) 331-1710
NPI enumeratedMarch 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12 Medical Dr, Port Jefferson Station, NY 11776-1588

Other providers in Port Jefferson Station