JOHN T. MATHER MEMORIAL HOSPITAL (NPI# 1629456595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629456595 |
| Entity Type | Organization |
| Organization Name | JOHN T. MATHER MEMORIAL HOSPITAL |
| Practice Address |
75 N Country Rd Port Jefferson NY 11777-2119 |
| Mailing Address |
625 Belle Terre Rd Suite 100 Port Jefferson NY 11777-2316 |
| Practice Telephone | 6314731320 |
| Mailing Telephone | 6314731320 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | JOSEPH WISNOSKI (CFO) |
| Authorized Official Telephone | 6314731320 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718728 | John T. Mather Memorial Hospital | Psychiatric Unit | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2005-05-27 |
| 1639585706 | John T. Mather Memorial Hospital | Clinic/Center | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2014-07-09 |
| 1073863635 | John T. Mather Memorial Hospital | Family Medicine | 75 North Country Rd, Port Jefferson, NY 11777-2190 | 2012-09-11 |
| 1336428796 | John T. Mather Memorial Hospital | Radiology | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2011-08-16 |
| 1285920231 | John T. Mather Memorial Hospital | Neuromusculoskeletal Medicine & OMM | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2011-06-28 |
| 1568774453 | John T. Mather Memorial Hospital | Psychiatry & Neurology | 5505 Nesconset Hwy, Mount Sinai, NY 11766-2037 | 2010-07-08 |
| 1891816070 | John T. Mather Memorial Hospital | Radiology | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-04-03 |
| 1568590115 | John T. Mather Memorial Hospital | General Acute Care Hospital | 120 N Country Rd, Port Jefferson, NY 11777-2604 | 2007-03-02 |
| 1396834750 | John T. Mather Memorial Hospital | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2006-10-12 |
| 1417044066 | John T. Mather Memorial Hospital | Nurse Practitioner | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2006-10-06 |
| Street Address |
75 N COUNTRY RD |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093718728 | John T. Mather Memorial Hospital | Psychiatric Unit | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2005-05-27 |
| 1124633169 | Ewelina Mieczkowska | Physician Assistant | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-09-15 |
| 1114546652 | Kelly Miller | Registered Nurse | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-04-14 |
| 1194344143 | John Lotfi | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-04-10 |
| 1669001897 | Robert Franklin Wilson | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-04-08 |
| 1245868611 | Tia Bimal | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-31 |
| 1427686203 | Aakash Babaria | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-29 |
| 1821626789 | Anjali Kewalramani | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-27 |
| 1578190591 | Joon Oh | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2190 | 2020-03-27 |
| 1871121848 | Sonali Nanda | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629129580 | Port Jefferson Ufsd | Local Education Agency (LEA) | 550 Scraggy Hill Rd, Port Jefferson, NY 11777-1918 | 2007-01-16 |
| 1033597174 | Alexandra Filippi | Local Education Agency (LEA) | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2015-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666161 | Jenice Nicolette Gill-richardson | Local Education Agency (LEA) | 33 Elizabeth St, Staten Island, NY 10310-1933 | 2020-10-15 |
| 1205440468 | Cheryl Mindi Lachant | Local Education Agency (LEA) | 8 Elizabeth Ln, New Windsor, NY 12553-7202 | 2020-09-04 |
| 1114544228 | Rina Veras | Local Education Agency (LEA) | 2156 Cruger Ave Apt 5a, Bronx, NY 10462-1623 | 2020-07-06 |
| 1588288120 | You Can Thrive Foundation | Local Education Agency (LEA) | 535 W 23rd St Apt S8r, New York, NY 10011-1124 | 2020-05-29 |
| 1689207425 | Westchester Independent Living Center | Local Education Agency (LEA) | 1441 Route 22 Ste 204, Brewster, NY 10509-4358 | 2020-02-20 |
| 1710529201 | Marcia Joan Meshel | Local Education Agency (LEA) | 5809 246th Cres, Douglaston, NY 11362-2053 | 2019-10-16 |
| 1770130163 | Ching Ha Jenny Wu | Local Education Agency (LEA) | 6811 15th Ave, Brooklyn, NY 11219-6310 | 2019-08-21 |
| 1437704418 | Boquet Valley Central School | Local Education Agency (LEA) | 25 Sisco St, Westport, NY 12993 | 2019-08-06 |
| 1124672993 | Josh Pesin | Local Education Agency (LEA) | 239 Bay 34th St Apt 1e, Brooklyn, NY 11214-5896 | 2019-07-30 |
| 1649738261 | Innovative Lifestyle Solutions | Local Education Agency (LEA) | 2013 Chestnut St, North Baldwin, NY 11510-2539 | 2019-03-04 |
| Find all providers with the same taxonomy | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
Please comment or provide details below to improve the information on JOHN T. MATHER MEMORIAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.