Port Interventional Radiology PC
NPI 1164434924 · Diagnostic Radiology Physician · Port Jefferson, NY
Port Interventional Radiology PC is a Diagnostic Radiology Physician organization in Port Jefferson, NY (NPI 1164434924).
Provider details
- NPI number
- 1164434924
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Glenn, President(631) 476-2754
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
19 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
- 2006-08-12
- Last updated
- 2020-08-22
Frequently asked questions
- What is Port Interventional Radiology PC's NPI number?
- Port Interventional Radiology PC's National Provider Identifier (NPI) is 1164434924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Interventional Radiology PC?
- Port Interventional Radiology PC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Port Interventional Radiology PC located?
- Port Interventional Radiology PC's practice location on file with NPPES is 75 North Country Road, Port Jefferson, NY 11777.
- What is Port Interventional Radiology PC's phone number?
- The practice phone number listed in the NPPES registry for Port Interventional Radiology PC is (631) 476-2757.
- Who is the authorized official for Port Interventional Radiology PC?
- The authorized official listed on Port Interventional Radiology PC's NPPES record is Edward Glenn, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Interventional Radiology PC's NPI active?
- Yes — Port Interventional Radiology PC's NPI (1164434924) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.