OrganizationActive
John T. Mather Memorial Hospital
NPI 1639585706 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · Port Jefferson, NY
Provider details
- NPI number
- 1639585706
- Entity type
- Organization
- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Wisnoski, Sr. Vp & Cmo(631) 473-1320
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Recovery Care Clinic/Center261QR0800X
Ambulatory Health Care Facilities
- Rehabilitation Hospital283X00000X
Hospitals
Practice location
75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 476-2768
Fax: (631) 474-4939
Approximate (ZIP-level) locationGet directions
Mailing address
75 N Country Rd
Port Jefferson, NY 11777-2119
Registry dates
- Enumerated
- 2014-07-09
- Last updated
- 2014-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.