Organization · Type 2 NPI

San Roman Fertility Medicine, P.c.

Clinic/Center · Port Jefferson Station, NY

NPI number 1144189176 Active

Practice location

5225 Rte 347 Ste 43
Port Jefferson Station, NY 11776-2060

Fax (631) 516-3647

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

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About NPI 1144189176

San Roman Fertility Medicine, P.c.'s National Provider Identifier is 1144189176, issued on Jan 16, 2026. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jan 16, 2026.