Port Jefferson Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PORT JEFFERSON PEDIATRICS

Practice address

12 Medical Dr
Port Jefferson Station, NY 11776-1588

Phone

(631) 331-1710

Fax

(631) 331-9069

NPI assigned

Mar 27, 2007

Last updated

Aug 22, 2020By 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

Mr. Martin KaplanNPI 1780654178

Title

Doctor

Phone

(631) 331-1710

Specialties & licenses 1

Addresses

Locations

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.

• Martin P Kaplan, MD

  • Pediatrics Physician
  • Port Jefferson Station, NY
  • NPI 1780654178
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609994722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MEDICAL DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761588",
            "telephone_number": "631-331-1710",
            "fax_number": "631-331-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MEDICAL DR",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761588",
            "telephone_number": "631-331-1710",
            "fax_number": "631-331-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT JEFFERSON PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "631-331-1710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port Jeff Medical Care, PC
• Port Jefferson ASC, LLC
• Port Jefferson Internal Medicine Assoc
• Port Jefferson Medical Care Wellness PLLC
• Port Jefferson Opticians Inc (Brookhaven Opticians)
• Port Jefferson Physical Therapy PC
• Port Jefferson Psychological & Vocational P.C.
• Deidre M Postupack, PT
• Michelle Prescia
• Prescription Exercise LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.