Port Jeff Medical Care, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

178674 Issued in NY

Legal business name

PORT JEFF MEDICAL CARE, PC

Practice address

410 Hallock Ave
Port Jefferson Station, NY 11776-1232

Phone

(631) 642-1100

Fax

(631) 642-1190

NPI assigned

Jul 13, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Mormando, D.O.NPI 1306816129

Title

President/Ceo

Phone

(631) 642-2025

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Mormando, D.O.

  • Internal Medicine Physician
  • Port Jefferson Station, NY
  • NPI 1306816129
  Authorized official Same address or phone

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1215952072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 HALLOCK AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761232",
            "telephone_number": "631-642-1100",
            "fax_number": "631-642-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 HALLOCK AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761232",
            "telephone_number": "631-642-1100",
            "fax_number": "631-642-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT JEFF MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MORMANDO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "631-642-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200407",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "178674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Point of Life Acupuncture, P.C.
• Victoria Polito
• Robert M Pollina, M.D.
• Laurie Pontecorvo, OTR/L
• Maya Ponzio
• Port Jefferson ASC, LLC
• Port Jefferson Internal Medicine Assoc
• Port Jefferson Medical Care Wellness PLLC
• Port Jefferson Opticians Inc (Brookhaven Opticians)
• Port Jefferson Pediatrics

• Nephrology Physician in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.