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

Port Neurology PC

Organization Specialist · NPI 1417024001

Port Neurology PC is a Specialist in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2006.

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

See every abbreviation used in this directory →

Practice location Address checks out

640 Belle Terre Rd Bldg H
Port Jefferson, NY 11777-1936
Phone: (631) 331-8774
Fax: (631) 331-8775
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 196859 (NY)

Record details

NPI number1417024001
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ajay Berdia — President · (631) 331-8774
NPI enumeratedNovember 29, 2006
Last updated in NPPESJanuary 19, 2011
Mailing address640 Belle Terre Rd, Building H, Port Jefferson, NY 11777-1936

Other providers in Port Jefferson