PORT EMERGENCY MEDICAL SERVICES, P.C.
NPI 1912988395
Emergency Medicine in Port Jefferson, NY

Active since November 11, 2005
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777(844) 474-4019 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 24, 2023, Jul 30, 2020 (2 updates tracked since 2020).

About Port Emergency Medical Services, P.c. NPPES

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

PORT EMERGENCY MEDICAL SERVICES, P.C. (NPI 1912988395) is a healthcare organization registered as an emergency medicine in Port Jefferson, New York and active in the NPI registry since November 2005. The organization lists Amy Charley, Vp Legal, as its authorized official.

NPPES Registry Identity

NPI1912988395
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NamePORT EMERGENCY MEDICAL SERVICES, P.C.
Location Address200 BELLE TERRE RDPort Jefferson, NY 11777-1968
Mailing Address12420 Milestone Center Dr Ste 200Germantown, MD 20876-7111 · (240) 686-2300
Organization SubpartNo
Authorized OfficialAmy CharleyVp Legal · (240) 686-2300
Enumeration DateNovember 11, 2005
Last NPPES UpdateFebruary 24, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1912988395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
200 BELLE TERRE RD, Port Jefferson, NY 11777

Other Identifiers 1

OtherWBW991NY · Bcbs Group Number

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Port Emergency Medical Services, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

89

Medicare enrollment records show 89 clinicians reassign Medicare billing to Port Emergency Medical Services, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Internal Medicine42
Emergency Medicine27
Hospitalist10
Nurse Practitioner7
Family Practice2
Medical Toxicology1

Nearest to this location (20)

See all 89
Emergency Medicine
NPI 1003312802
200 BELLE TERRE RD
Port Jefferson, NY 11777
(631) 474-6791
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518578780
75 N COUNTRY RD
Port Jefferson, NY 11777
(631) 473-1320
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1053492017
75 N COUNTRY RD
Port Jefferson, NY 11777
(631) 473-1320
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1164084331
44 LISO DR
Mount Sinai, NY 11766
(631) 827-6962
✔ PECOS✔ Accepts Medicare2.8 mi
Emergency Medicine
NPI 1518543156
101 NICOLLS ROAD HSC LEVEL 4, 050
Stony Brook, NY 11794
(631) 444-3880
✔ PECOS✔ Accepts Medicare3.8 mi
Emergency Medicine
NPI 1780612648
UNIVERSITY HOSPITAL, L4
Stony Brook, NY 11794
(631) 444-2499
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1124071824
STONY BROOK UMC HSC 18-040
Stony Brook, NY 11794
(631) 444-7989
✔ PECOS✔ Accepts Medicare4.5 mi
Emergency Medicine
NPI 1215564604
50 NEW YORK AVE # 25A
Smithtown, NY 11787
(631) 862-3000
✔ PECOS✔ Accepts Medicare9.7 mi
Emergency Medicine
NPI 1184374654
50 NEW YORK AVE # 25A
Smithtown, NY 11787
(631) 862-3000
✔ PECOS✔ Accepts Medicare9.7 mi
Emergency Medicine
NPI 1184208878
50 NY-25A
Smithtown, NY 11787
(631) 862-3000
✔ PECOS✔ Accepts Medicare10 mi
Emergency Medicine
NPI 1194302372
50 ROUTE 25A
Smithtown, NY 11787
(631) 862-3000
✔ PECOS✔ Accepts Medicare10 mi
Emergency Medicine
NPI 1063672020
50 ROUTE 25A
Smithtown, NY 11787
(631) 862-3111
✔ PECOS10 mi
Emergency Medicine
NPI 1154589380
101 HOSPITAL RD
Patchogue, NY 11772
(631) 654-7100
✔ PECOS✔ Accepts Medicare12 mi
Emergency Medicine
NPI 1013969880
301 E MAIN ST
Bay Shore, NY 11706
(631) 675-4149
✔ PECOS18 mi
Emergency Medicine
NPI 1033151246
270 PARK AVE
Huntington, NY 11743
(631) 651-8370
✔ PECOS✔ Accepts Medicare19 mi
Emergency Medicine
NPI 1235593211
270 PARK AVE
Huntington, NY 11743
(631) 351-2300
✔ PECOS✔ Accepts Medicare19 mi
Medical Toxicology
NPI 1902959794
270 PARK AVE
Huntington, NY 11743
(631) 351-2000
✔ PECOS✔ Accepts Medicare19 mi
Emergency Medicine
NPI 1821362948
34 HIGHVIEW AVE
Huntington Station, NY 11746
(646) 479-6415
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1154955086
1000 MONTAUK HWY
West Islip, NY 11795
(631) 376-3000
✔ PECOS✔ Accepts Medicare21 mi
Emergency Medicine
NPI 1063670420
1000 MONTAUK HWY
West Islip, NY 11795
(631) 376-1000
✔ PECOS✔ Accepts Medicare21 mi
See all 89 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Emergency Medical Services, P.C.'s NPI number?

The NPI number for Port Emergency Medical Services, P.C. is 1912988395. It was assigned to this organization in the NPPES registry on November 11, 2005.

Where is Port Emergency Medical Services, P.C. located?

Port Emergency Medical Services, P.C. is located at 200 Belle Terre Rd, Port Jefferson, NY 11777. The listed phone number is (844) 474-4019.

What is Port Emergency Medical Services, P.C.'s specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Port Emergency Medical Services, P.C. enrolled in Medicare?

Yes. Port Emergency Medical Services, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Port Emergency Medical Services, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 89 clinicians in 6 Medicare specialties reassign their Medicare billing to Port Emergency Medical Services, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (42), Emergency Medicine (27) and Hospitalist (10). Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Port Emergency Medical Services, P.C. was last updated on February 24, 2023. 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.