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

Village Internal Medicine Group

Organization Internal Medicine Physician · NPI 1003889023

Village Internal Medicine Group is an Internal Medicine Physician in Port Jefferson, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

710 Main St
Port Jefferson, NY 11777
Phone: (631) 474-4000
Fax: (631) 474-4011
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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 172308 (NY)

Record details

NPI number1003889023
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Dibenedetto — Md/President · (631) 474-4000
NPI enumeratedFebruary 9, 2006
Last updated in NPPESDecember 29, 2010
Mailing address710 Main Street, Village Internal Medicine Group, Port Jefferson, NY 11777

Other providers in Port Jefferson