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

Q: 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.

Q: What is Port Jefferson Pediatrics's specialty?

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

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: August 16, 2026.

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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.

KATHERINE G ROTH MD

Psychiatry & Neurology (Neurology)

12 MEDICAL DR, STE D
PORT JEFFERSON STATION, NY 11776

Suffolk County (631) 928-1222

MS. JACQUELINE PANDOLFI N.P.

Nurse Practitioner (Women's Health)