PORT JEFF MEDICAL CARE, PC
NPI 1215952072
Internal Medicine - Nephrology in Port Jefferson Station, NY

Q: What is Port Jeff Medical Care, PC's NPI number?

The NPI number for Port Jeff Medical Care, PC is 1215952072. It was assigned to this organization in the NPPES registry on July 13, 2006.

Q: What is Port Jeff Medical Care, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since July 13, 2006

410 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 642-1100(631) 642-1190 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Port Jeff Medical Care, Pc NPPES

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

PORT JEFF MEDICAL CARE, PC (NPI 1215952072) is a healthcare organization registered as a nephrology in Port Jefferson Station, New York and active in the NPI registry since July 2006. The organization lists Robert Mormando, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1215952072

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NamePORT JEFF MEDICAL CARE, PC

Location Address410 HALLOCK AVEPort Jefferson Station, NY 11776-1232

Mailing Address410 Hallock AvePort Jefferson Station, NY 11776-1232 · (631) 642-1100 · Fax (631) 642-1190

Phone(631) 642-1100

Fax(631) 642-1190

Organization SubpartNo

Authorized OfficialRobert MormandoPresident/ceo · (631) 642-2025

Enumeration DateJuly 13, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1215952072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NY · 178674

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 200407 (NY)

410 HALLOCK AVE, Port Jefferson Station, NY 11776

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA GOMEZ PEREIRA PHYSICIAN ASSISTANT

Physician Assistant

410 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 642-1100

DR. ROBERT MORMANDO D.O.

Internal Medicine

410 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 642-1100

JOHANNA M SMITH NP

Nurse Practitioner (Adult Health)

410 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 642-1100

DR. DEBORAH CARNEY M.D.

Internal Medicine

410 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 642-1100

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 Port Jeff Medical Care, PC's NPI number?

The NPI number for Port Jeff Medical Care, PC is 1215952072. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Port Jeff Medical Care, PC located?

Port Jeff Medical Care, PC is located at 410 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 642-1100.

What is Port Jeff Medical Care, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Port Jeff Medical Care, PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.