Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

John T. Mather Memorial Hospital

Organization Diagnostic Radiology Physician · NPI 1194812479

John T. Mather Memorial Hospital provides Diagnostic Radiology Physician services in Port Jefferson, New York. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

120 N Country Rd
Port Jefferson, NY 11777-2604 Not confirmed with CMS for 11 years — call before visiting
Phone: (631) 473-1320
Fax: (631) 686-7972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1194812479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Wisnoski — Vice President Finance · (631) 473-1320
NPI enumeratedOctober 6, 2006
Last updated in NPPESApril 29, 2015
Mailing address625 Belle Terre Rd, Suite 100, Port Jefferson, NY 11777-2316

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