Organization · Type 2 NPI
Port Jeff Medical Care, PC
Nephrology Physician · Port Jefferson Station, NY
NPI number
1215952072
Active
Practice location
410 Hallock Ave
Port Jefferson Station, NY 11776-1232
Fax (631) 642-1190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 200407 (NY) |
| Nephrology Physician Primary | 207RN0300X | 178674 (NY) |
Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4 other providers at this address
- Andrea Gomez Pereira, PHYSICIAN ASSISTANTPhysician Assistant Port Jefferson Station, NY NPI 1306325477
- Deborah Carney, MDInternal Medicine Physician Port Jefferson Station, NY NPI 1912369935
- Johanna M. Smith, NPAdult Health Nurse Practitioner Port Jefferson Station, NY NPI 1326388695
- Robert Mormando, DOInternal Medicine Physician Port Jefferson Station, NY NPI 1306816129
About NPI 1215952072
Port Jeff Medical Care, PC's National Provider Identifier is 1215952072, issued on Jul 13, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Sep 11, 2025.