OrganizationActive
John T. Mather Memorial Hospital
NPI 1073863635 · Hospice and Palliative Medicine (Family Medicine) Physician · Port Jefferson, NY
Provider details
- NPI number
- 1073863635
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Wisnoski, Cfo, Vp- Finance(631) 473-1320
- License
- 225349-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
75 North Country Rd
Port Jefferson, NY 11777-2190
Phone: (631) 473-1320
Approximate (ZIP-level) locationGet directions
Mailing address
625 Belle Terre Road
Port Jefferson, NY 11777
Registry dates
- Enumerated
- 2012-09-11
- Last updated
- 2012-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.