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JOHN T. MATHER MEMORIAL HOSPITAL
NPI 1528650348
Internal Medicine - Interventional Cardiology in Port Jefferson, NY

Active since February 04, 2021
75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-1320 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John T. Mather Memorial Hospital NPPES

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

JOHN T. MATHER MEMORIAL HOSPITAL (NPI 1528650348), doing business as Mather Hospital, is a healthcare organization registered as an interventional cardiology in Port Jefferson, New York and active in the NPI registry since February 2021. The organization lists Christina Iadanza, Assistant Vice President, as its authorized official.

NPPES Registry Identity

NPI1528650348
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameJOHN T. MATHER MEMORIAL HOSPITAL
Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119
Mailing AddressPo Box 6435Brattleboro, VT 05302-6435
Phone(631) 473-1320
Organization SubpartNo
Authorized OfficialChristina IadanzaAssistant Vice President · (631) 686-7830
Enumeration DateFebruary 4, 2021
NPPES CertifiedFebruary 4, 2021
✔ NPI 1528650348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
75 N COUNTRY RD, Port Jefferson, NY 11777
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Other Names 1

Doing Business AsMather Hospital

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 20

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

JUSTINA CATHERINE MELLONE DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
AAKAASH VARMA MD
Dermatology
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
KRISELA VOJNIKU MD
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549
LORETTA DIDWELL
Physician Assistant
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 473-1320
RAYMOND WONG
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-7654
KATLYN ANN CONVILLE ANTHONY NP
Nurse Practitioner (Family)
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2565
SHEHNAZ WASIM MD
Internal Medicine
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-1443
JULIA KOROBENKO DO
Student in an Organized Health Care Education/Training Program
75 N COUNTRY RD
PORT JEFFERSON, NY 11777
Suffolk County (631) 686-2549

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 John T. Mather Memorial Hospital's NPI number?

The NPI number for John T. Mather Memorial Hospital is 1528650348. It was assigned to this organization in the NPPES registry on February 4, 2021. The provider is doing business as Mather Hospital.

Where is John T. Mather Memorial Hospital located?

John T. Mather Memorial Hospital is located at 75 N Country Rd, Port Jefferson, NY 11777. The listed phone number is (631) 473-1320.

What is John T. Mather Memorial Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

When was this NPI record last updated?

The NPPES record for John T. Mather Memorial Hospital was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.