Individual provider Active NPI

Rena K Ferguson, MD

  • Psychiatry Physician
  • Port Jefferson, NY
National Provider Identifier
1013082452
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
230330 Issued in NY
Practice address
251 E Oakland Ave Ste 2a
Port Jefferson, NY 11777-2602
Phone
(631) 760-1830
Fax
(631) 509-6080
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 230330 NY Primary

Addresses

Primary practice location

251 E Oakland Ave Ste 2a
Port Jefferson, NY 11777-2602

Mailing address

251 E Oakland Ave Ste 2a
Port Jefferson, NY 11777-2602
Phone (631) 760-1830

Other identifiers 1

IdentifierTypeStateIssuer
02501137MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040421001164 NY Practitioner - Psychiatry 2961498498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

251 E Oakland Ave
2A
Port Jefferson, NY 11777-2602
Phone (631) 760-1830

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
230330NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rena Ferguson, MD, PC Psychiatry CurrentSince Oct 14, 2008 Accepting new patients
Dr. Gabrielle McAndrews, Psy.D., PC Past Accepting new patients

Locations

1739 N Ocean Ave
Ste A
Medford, NY 11763
Phone (631) 509-6111

1000 Main St
Ste G
Port Jefferson, NY 11777
Phone (631) 209-7917

251 Oakland Ave
Ste 2A
Port Jefferson, NY 11777
Phone (631) 760-1830

1000 Main St
Prt Jefferson, NY 11777
Phone (631) 296-1113

128 Old Town Rd
Ste C
Setauket, NY 11733
Phone (631) 675-2910

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1013082452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E OAKLAND AVE STE 2A",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772602",
            "telephone_number": "631-760-1830",
            "fax_number": "631-509-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E OAKLAND AVE STE 2A",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772602",
            "telephone_number": "631-760-1830",
            "fax_number": "631-509-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "RENA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "230330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02501137",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

Verify at the official NPI Registry.