| NPI | 1093718728 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-05-27 |
| Last Updated | 2025-07-28 |
| Authorized Official | Michele Cusack EVP & CFO Phone: 5163216058 |
| Mailing Address | 75 N Country Rd Port Jefferson, NY 11777-2190 United States Phone: (631) 473-1320 | Fax: (631) 473-5254 📍 View Map |
| Primary Practice Address | 75 N Country Rd Port Jefferson, NY 11777-2119 United States Phone: (631) 473-1320 | Fax: (631) 686-1459 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | NY | 00274364 | — |
| MEDICAID | WA | 100822 | — |
| MEDICAID | PA | 110851658 | — |
| MEDICAID | MA | 1206575 | — |
| MEDICAID | MD | 21920 | — |
| MEDICAID | CT | 3044310 | — |
| MEDICAID | NC | 3300185 | — |
| MEDICAID | NJ | 6004504 | — |
| MEDICAID | CA | HSP32196 | — |
| MEDICAID | CA | HSP42196 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 273R00000X – Psychiatric Unit | NY | 5149000 |
| No | 314000000X – Skilled Nursing Facility | NY | 5149000 |
| No | 333600000X – Pharmacy | — | — |
| No | 3336C0003X – Pharmacy, Community/Retail Pharmacy | — | — |
| Yes | 282N00000X – General Acute Care Hospital | NY | 5149000 |
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About NPI 1093718728
John T. Mather Memorial Hospital is an organization registered in the CMS NPPES NPI Registry with NPI number 1093718728. The primary specialty listed is General Acute Care Hospital. The organization is located in Port Jefferson, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-05-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093718728?
NPI 1093718728 belongs to John T. Mather Memorial Hospital, a General Acute Care Hospital in Port Jefferson, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093718728 active?
The current status of NPI 1093718728 in the NPPES registry is Active. The record was last updated on 2025-07-28.
What specialty is NPI 1093718728?
NPI 1093718728 is classified under the taxonomy General Acute Care Hospital. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093718728?
You can verify NPI 1093718728 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093718728?
The primary practice address on file for NPI 1093718728 is 75 N Country Rd, Port Jefferson, NY 11777-2119. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093718728 issued?
NPI 1093718728 was first issued (enumerated) on 2005-05-27. The NPPES record was last updated on 2025-07-28.
Practice Location Map
John T. Mather Memorial Hospital is located at 75 N Country Rd, Port Jefferson, NY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as John T. Mather Memorial Hospital. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093718728. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Psychiatric Unit | 5149000 | NY |
| Skilled Nursing Facility | 5149000 | NY |
| General Acute Care Hospital | 5149000 | NY |