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

Mather Faculty Medical Affiliates, University Faculty Practice Corpora

Organization Family Nurse Practitioner · NPI 1578309670

Mather Faculty Medical Affiliates, University Faculty Practice Corpora provides Family Nurse Practitioner services in Port Jefferson, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

75 N Country Rd
Port Jefferson, NY 11777-2119
Phone: (631) 473-1320
Fax: (631) 473-7367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1578309670
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ingrid McDowald — Nurse Practicioner · (631) 473-1320
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address75 N Country Rd, Port Jefferson, NY 11777-2119

Other providers in Port Jefferson