Village Internal Medicine Group
NPI 1003889023 · Internal Medicine Physician · Port Jefferson, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Village Internal Medicine Group is a Internal Medicine Physician organization in Port Jefferson, NY (NPI 1003889023).
Provider details
- NPI number
- 1003889023
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Dibenedetto, Md/President(631) 474-4000
- License
- 172308 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-09
- Last updated
- 2010-12-29
Frequently asked questions
- What is Village Internal Medicine Group's NPI number?
- Village Internal Medicine Group's National Provider Identifier (NPI) is 1003889023, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Village Internal Medicine Group?
- Village Internal Medicine Group is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Village Internal Medicine Group located?
- Village Internal Medicine Group's practice location on file with NPPES is 710 Main Street, Port Jefferson, NY 11777.
- What is Village Internal Medicine Group's phone number?
- The practice phone number listed in the NPPES registry for Village Internal Medicine Group is (631) 474-4000.
- Does Village Internal Medicine Group accept Medicare?
- Village Internal Medicine Group is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Village Internal Medicine Group?
- The authorized official listed on Village Internal Medicine Group's NPPES record is Mark Dibenedetto, Md/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Village Internal Medicine Group's NPI active?
- Yes — Village Internal Medicine Group's NPI (1003889023) is active in the NPPES registry as of the last update on 2010-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.