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Contact Information

JOHN T. MATHER MEMORIAL HOSPITAL
75 N COUNTRY RD
PORT JEFFERSON, NY11777-2119
 Phone: 631-476-2768
 Fax: 631-474-4939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Health Service

261QH0100X
 

Recovery Care

261QR0800X
 

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
Indicates primary specialty

NPI Profile & details for JOHN T. MATHER MEMORIAL HOSPITAL

NPI # 1639585706
LBN Legal business name JOHN T. MATHER MEMORIAL HOSPITAL
Authorized official JOSEPH WISNOSKI - (SR. VP & CMO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/09/2014
Last updated 07/11/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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