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PORT NEUROLOGY PC
NPI 1417024001
Specialist in Port Jefferson, NY

Active since November 29, 2006
640 BELLE TERRE RD, BUILDING H, PORT JEFFERSON, NY 11777(631) 331-8774(631) 331-8775 Get Directions Write a Review

NPPES record last updated: January 19, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Port Neurology Pc NPPES

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

PORT NEUROLOGY PC (NPI 1417024001) is a healthcare organization registered as a specialist in Port Jefferson, New York and active in the NPI registry since November 2006. The organization lists Ajay V Berdia, President, as its authorized official.

NPPES Registry Identity

NPI1417024001
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePORT NEUROLOGY PC
Location Address640 BELLE TERRE RD, BUILDING HPort Jefferson, NY 11777-1936
Mailing Address640 Belle Terre Rd, Building HPort Jefferson, NY 11777-1936 · (631) 331-8774 · Fax (631) 331-8775
Phone(631) 331-8774
Fax(631) 331-8775
Organization SubpartNo
Authorized OfficialAjay V BerdiaPresident · (631) 331-8774
Enumeration DateNovember 29, 2006
Last NPPES UpdateJanuary 19, 2011
✔ NPI 1417024001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 196859
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
640 BELLE TERRE RD, 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

Other Providers at the Same Location NPPES 15

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

CHRISTOPHER BEATTY, MD, PC
Surgery
640 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-7300
MRS. DARLENE RENEE PETROCCIONE RD, CDN
Dietitian, Registered
640 BELLE TERRE RD, BUILDING E
PORT JEFFERSON, NY 11777
Suffolk County (631) 987-4006
ROBERT M WOZNICKI MD PC
Psychiatry & Neurology (Psychiatry)
640 BELLE TERRE RD, BLDG J3
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-3184
MS. REGINA M TART LMT
Massage Therapist
640 BELLE TERRE RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 828-5361
FIROOZ REZVANI MD
Otolaryngology
640 BELLE TERRE RD, BLDG J
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-2121
GISOU SAFFARI LMT
Massage Therapist
640 BELLE TERRE RD, BLDG E
PORT JEFFERSON, NY 11777
Suffolk County (631) 921-5326
HENRY J BEST IV D.O.
Family Medicine
640 BELLE TERRE RD, BLDG F
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-6900
MR. SALIM A MATAR MD
Specialist
640 BELLE TERRE RD, BUILDING C
PORT JEFFERSON, NY 11777
Suffolk County (631) 928-7750

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 Neurology PC's NPI number?

The NPI number for Port Neurology PC is 1417024001. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Port Neurology PC located?

Port Neurology PC is located at 640 Belle Terre Rd Building H, Port Jefferson, NY 11777. The listed phone number is (631) 331-8774.

What is Port Neurology PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Port Neurology PC was last updated on January 19, 2011. 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.