Port Jefferson Internal Medicine Assoc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

120676 Issued in NY

Legal business name

PORT JEFFERSON INTERNAL MEDICINE ASSOC

Practice address

5225-15 Route 347
Port Jefferson Station, NY 11776

Phone

(631) 331-1000

Fax

(631) 928-7436

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Rosario J Romano, MD

Title

Sr. Partner

Phone

(631) 331-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline A Aurigema, RPAC

  • Medical Physician Assistant
  • Port Jefferson Station, NY
  • NPI 1750404307
  NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1497856256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225-15 ROUTE 347",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "11776",
            "telephone_number": "631-331-1000",
            "fax_number": "631-928-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225-15 ROUTE 347",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "11776",
            "telephone_number": "631-331-1000",
            "fax_number": "631-928-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT JEFFERSON INTERNAL MEDICINE ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "ROSARIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SR. PARTNER",
        "authorized_official_telephone_number": "631-331-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "120676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB1781",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert M Pollina, M.D.
• Laurie Pontecorvo, OTR/L
• Maya Ponzio
• Port Jeff Medical Care, PC
• Port Jefferson ASC, LLC
• Port Jefferson Medical Care Wellness PLLC
• Port Jefferson Opticians Inc
• Port Jefferson Pediatrics
• Port Jefferson Physical Therapy PC
• Port Jefferson Psychological & Vocational P.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.