Port Jefferson Ekg Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

120676 Issued in NY

Legal business name

PORT JEFFERSON EKG ASSOCIATES

Practice address

John T. Mather Memorial Hospital
75 North Country Road
Port Jefferson, NY 11777

Phone

(631) 642-0183

Fax

(631) 642-0183

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Virginia Romano

Title

Manager

Phone

(631) 642-0183

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Denise A Abselet, DO

  • Internal Medicine Physician
  • Port Jefferson Station, NY
  • NPI 1780770131
  NPD (past)
• Richard A Balter, MD

  • Internal Medicine Physician
  • Commack, NY
  • NPI 1689766537
  NPD (past)
• Rosario J Romano, MD

  • Internal Medicine Physician
  • Port Jefferson, NY
  • NPI 1356442107
  NPD (past)

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1972771004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 977",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117760830",
            "telephone_number": "631-642-0183",
            "fax_number": "631-642-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOHN T. MATHER MEMORIAL HOSPITAL",
            "address_2": "75 NORTH COUNTRY ROAD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "11777",
            "telephone_number": "631-642-0183",
            "fax_number": "631-642-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT JEFFERSON EKG ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "631-642-0183"
    },
    "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": "CI0267",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert David Polin, LCSW
• Port Emergency Medical Services, P.C.
• Port Interventional Radiology PC
• Port Jefferson Allergy & Asthma P.C
• Port Jefferson Dental Group P. C.
• Port Jefferson OBGYN PC
• Port Jefferson Operating LLC
• Port Jefferson Surgical PC
• Port Jefferson Ufsd
• Port Neurology PC

• Internal Medicine Physician in Port Jefferson, NY
• Providers in Port Jefferson, 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.