# JOHN T. MATHER MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396834750
- **Authorized official:** FRANK LETTERA (VICE PRESIDENT FINANCE)
- **Authorized official phone:** (631) 473-1320

## Contact information

- **Practice address:** 75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
- **Practice address phone:** (631) 473-1320
- **Practice address fax:** (631) 686-7693
- **Mailing address:** 625 BELLE TERRE RD, SUITE 100, PORT JEFFERSON, NY 11777-2316
- **Mailing address phone:** (631) 473-1320
- **Mailing address fax:** (631) 686-7693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 08/24/2007