OrganizationActive
Port Neurology PC
NPI 1417024001 · Specialist · Port Jefferson, NY
Port Neurology PC is a Specialist organization in Port Jefferson, NY (NPI 1417024001).
Provider details
- NPI number
- 1417024001
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Ajay Berdia, President(631) 331-8774
- License
- 196859 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
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
640 Belle Terre Rd
Building H
Port Jefferson, NY 11777-1936
Phone: (631) 331-8774
Fax: (631) 331-8775
Street-level locationGet directions
Mailing address
640 Belle Terre Rd
Port Jefferson, NY 11777-1936
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2011-01-19
Frequently asked questions
- What is Port Neurology PC's NPI number?
- Port Neurology PC's National Provider Identifier (NPI) is 1417024001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Neurology PC?
- Port Neurology PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Port Neurology PC located?
- Port Neurology PC's practice location on file with NPPES is 640 Belle Terre Rd, Port Jefferson, NY 11777-1936.
- What is Port Neurology PC's phone number?
- The practice phone number listed in the NPPES registry for Port Neurology PC is (631) 331-8774.
- Who is the authorized official for Port Neurology PC?
- The authorized official listed on Port Neurology PC's NPPES record is Ajay Berdia, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Neurology PC's NPI active?
- Yes — Port Neurology PC's NPI (1417024001) is active in the NPPES registry as of the last update on 2011-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.