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PORT JEFFERSON PEDIATRICS
NPI 1609994722
Pediatrics in Port Jefferson Station, NY

Active since March 27, 2007
12 MEDICAL DR, PORT JEFFERSON STATION, NY 11776(631) 331-1710(631) 331-9069 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Port Jefferson Pediatrics NPPES

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

PORT JEFFERSON PEDIATRICS (NPI 1609994722) is a healthcare organization registered as a pediatrics in Port Jefferson Station, New York and active in the NPI registry since March 2007. The organization lists Martin Kaplan, Doctor, as its authorized official.

NPPES Registry Identity

NPI1609994722
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePORT JEFFERSON PEDIATRICS
Location Address12 MEDICAL DRPort Jefferson Station, NY 11776-1588
Mailing Address12 Medical DrPort Jefferson Station, NY 11776-1588 · (631) 331-1710 · Fax (631) 331-9069
Phone(631) 331-1710
Fax(631) 331-9069
Organization SubpartNo
Authorized OfficialMartin KaplanDoctor · (631) 331-1710
Enumeration DateMarch 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1609994722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

12 MEDICAL DR, Port Jefferson Station, NY 11776
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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 6

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

DR. MARTIN P KAPLAN MD
Pediatrics
12 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-1710
THEODORE GOLDBERG M.D.
Obstetrics & Gynecology
12 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-4400
DREUX PATTON M.D.
Obstetrics & Gynecology
12 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-4400
WENDY FARRAR RN, NP, -C, MS
Nurse Practitioner
12 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-4400
MS. JACQUELINE PANDOLFI N.P.
Nurse Practitioner (Women's Health)
12 MEDICAL DR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 331-4400
KATHERINE G ROTH MD
Psychiatry & Neurology (Neurology)
12 MEDICAL DR, STE D
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 928-1222

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 Jefferson Pediatrics's NPI number?

The NPI number for Port Jefferson Pediatrics is 1609994722. It was assigned to this organization in the NPPES registry on March 27, 2007.

Where is Port Jefferson Pediatrics located?

Port Jefferson Pediatrics is located at 12 Medical Dr, Port Jefferson Station, NY 11776. The listed phone number is (631) 331-1710.

What is Port Jefferson Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Port Jefferson Pediatrics was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.