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VILLAGE INTERNAL MEDICINE GROUP
NPI 1003889023
Internal Medicine in Port Jefferson, NY

Active since February 09, 2006
710 MAIN STREET, PORT JEFFERSON, NY 11777(631) 474-4000(631) 474-4011 Get Directions Write a Review

NPPES record last updated: December 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Village Internal Medicine Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VILLAGE INTERNAL MEDICINE GROUP (NPI 1003889023) is a healthcare organization registered as an internal medicine in Port Jefferson, New York and active in the NPI registry since February 2006. The organization lists Mark J. Dibenedetto, Md/president, as its authorized official.

NPPES Registry Identity

NPI1003889023
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVILLAGE INTERNAL MEDICINE GROUP
Location Address710 MAIN STREETPort Jefferson, NY 11777
Mailing Address710 Main Street, Village Internal Medicine GroupPort Jefferson, NY 11777 · (631) 474-4000 · Fax (631) 474-4011
Phone(631) 474-4000
Fax(631) 474-4011
Organization SubpartNo
Authorized OfficialMark J. DibenedettoMd/president · (631) 474-4000
Enumeration DateFebruary 9, 2006
Last NPPES UpdateDecember 29, 2010
✔ NPI 1003889023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 172308
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
710 MAIN STREET, Port Jefferson, NY 11777
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Village Internal Medicine Group's NPI number?

The NPI number for Village Internal Medicine Group is 1003889023. It was assigned to this organization in the NPPES registry on February 9, 2006.

Where is Village Internal Medicine Group located?

Village Internal Medicine Group is located at 710 Main Street, Port Jefferson, NY 11777. The listed phone number is (631) 474-4000.

What is Village Internal Medicine Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Village Internal Medicine Group was last updated on December 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.