THREE VILLAGE NEUROLOGY, P.C.
NPI 1871544015
Psychiatry & Neurology - Neurology in Port Jefferson Station, NY

Active since May 12, 2006
4511 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776(631) 751-0790(631) 675-1022 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Three Village Neurology, P.c. NPPES

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

THREE VILLAGE NEUROLOGY, P.C. (NPI 1871544015) is a healthcare organization registered as a neurology in Port Jefferson Station, New York and active in the NPI registry since May 2006. The organization maintains a secondary practice location in Stony Brook and lists James D Bruno, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871544015
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameTHREE VILLAGE NEUROLOGY, P.C.
Location Address4511 NESCONSET HWYPort Jefferson Station, NY 11776-2630
Mailing Address4511 Nesconset HwyPort Jefferson Station, NY 11776-2630 · (631) 751-0790 · Fax (631) 675-1022
Fax(631) 675-1022
Organization SubpartNo
Authorized OfficialJames D BrunoCeo · (631) 751-0790
Enumeration DateMay 12, 2006
Last NPPES UpdateDecember 9, 2022
NPPES CertifiedDecember 9, 2022
NPI 1871544015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedSpecialistTaxonomy 174400000X · License 234763 (NY)
Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X
4511 NESCONSET HWY, Port Jefferson Station, NY 11776

Secondary Practice Location 1

Location 12500 Nesconset Hwy, Building 21 BStony Brook, NY 11790-2555 · Phone (631) 751-0790 · Fax (631) 751-4347

Other Identifiers 1

Other2084N0400XTaxonomy

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

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 Three Village Neurology, P.C.'s NPI number?

The NPI number for Three Village Neurology, P.C. is 1871544015. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Three Village Neurology, P.C. located?

Three Village Neurology, P.C. is located at 4511 Nesconset Hwy, Port Jefferson Station, NY 11776. The listed phone number is (631) 751-0790.

What is Three Village Neurology, P.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Three Village Neurology, P.C. was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.