1. Home
  2. Directory
  3. New York
  4. Port Jefferson
  5. Local Education Agency Lea
  6. NPI Profile

JOHN T. MATHER MEMORIAL HOSPITAL
NPI 1629456595
Local Education Agency (LEA) in Port Jefferson, NY

Active since May 12, 2015
75 N COUNTRY RD, PORT JEFFERSON, NY 11777(631) 473-1320 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: July 26, 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 1629456595) is a healthcare organization registered as a local education agency (lea) in Port Jefferson, New York and active in the NPI registry since May 2015. The organization lists Joseph Wisnoski, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629456595
Entity TypeOrganization
Primary Taxonomy251300000X
Legal Business NameJOHN T. MATHER MEMORIAL HOSPITAL
Location Address75 N COUNTRY RDPort Jefferson, NY 11777-2119
Mailing Address625 Belle Terre Rd, Suite 100Port Jefferson, NY 11777-2316 · (631) 473-1320
Phone(631) 473-1320
Organization SubpartNo
Authorized OfficialJoseph WisnoskiCfo · (631) 473-1320
Enumeration DateMay 12, 2015
✔ NPI 1629456595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLocal Education Agency (LEA)Agencies
Taxonomy Code251300000X
Definition
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy.
75 N COUNTRY RD, Port Jefferson, NY 11777
Open in Google Maps ↗

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 1629456595. It was assigned to this organization in the NPPES registry on May 12, 2015.

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 Local Education Agency (LEA) with taxonomy code 251300000X.

When was this NPI record last updated?

The NPPES record for John T. Mather Memorial Hospital was last updated on May 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.