OrganizationActive
Port Jefferson Surgical PC
NPI 1912460791 · Clinic/Center · Port Jefferson, NY
Port Jefferson Surgical PC is a Clinic/Center organization in Port Jefferson, NY (NPI 1912460791).
Provider details
- NPI number
- 1912460791
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Markella Christakis, Billing(631) 403-4310
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1227 Main St Ste 101
Port Jefferson, NY 11777-2227
Phone: (718) 554-1042
Street-level locationGet directions
Mailing address
70 N Country Rd Ste 201
Port Jefferson, NY 11777-2161
Other names (DBA / former)
- Doing business as
- Port MD Medical Wellness
Registry dates
- Enumerated
- 2019-04-09
- Last updated
- 2019-10-01
Frequently asked questions
- What is Port Jefferson Surgical PC's NPI number?
- Port Jefferson Surgical PC's National Provider Identifier (NPI) is 1912460791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Port Jefferson Surgical PC?
- Port Jefferson Surgical PC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Port Jefferson Surgical PC located?
- Port Jefferson Surgical PC's practice location on file with NPPES is 1227 Main St Ste 101, Port Jefferson, NY 11777-2227.
- What is Port Jefferson Surgical PC's phone number?
- The practice phone number listed in the NPPES registry for Port Jefferson Surgical PC is (718) 554-1042.
- Who is the authorized official for Port Jefferson Surgical PC?
- The authorized official listed on Port Jefferson Surgical PC's NPPES record is Markella Christakis, Billing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Port Jefferson Surgical PC's NPI active?
- Yes — Port Jefferson Surgical PC's NPI (1912460791) is active in the NPPES registry as of the last update on 2019-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.