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Contact Information

JAVERIA NASIM, MD
75 N COUNTRY RD
PORT JEFFERSON, NY11777-2119
 Phone: 631-473-1320
 Fax: 631-686-7972
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JAVERIA NASIM · (Female)

NPI # 1114189073
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2008
Last updated 11/04/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • NY License # 261711
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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