OrganizationActive
John T Mather Memorial Hospital
NPI 1366816894 · Obesity Medicine (Internal Medicine) Physician · Port Jefferson, NY
Provider details
- NPI number
- 1366816894
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Wisnoski, Vp Finance(631) 473-1320
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
75 N Country Rd
Suite 201
Port Jefferson, NY 11777-2119
Phone: (631) 689-0220
Fax: (631) 417-3042
Approximate (ZIP-level) locationGet directions
Mailing address
100 Highlands Blvd
Port Jefferson, NY 11777-2320
Other names (DBA / former)
- Other name
- Bariatric Group
Registry dates
- Enumerated
- 2015-11-20
- Last updated
- 2016-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.