| Dr Robert Mormando, DO | |
|
410 Hallock Ave, Port Jefferson Station, NY 11776-1232 | |
| (631) 642-1100 | |
| (631) 642-1190 |
| Full Name | Dr Robert Mormando |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 34 Years |
| Location | 410 Hallock Ave, Port Jefferson Station, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306816129 | NPI | - | NPPES |
| 200407 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 200407 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Catholic Home Care | Farmingdale, NY | Home health agency |
| Kindred At Home (hauppauge) | Hauppauge, NY | Home health agency |
| Vns & Hospice Of Suffolk Inc Chha | Northport, NY | Home health agency |
| John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
| Suny/stony Brook University Hospital | Stony brook, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Medical Care Pc | 9931013240 | 979 |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | Prohealth Care Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
| Entity Name | Stony Brook Internists University Faculty Practice Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821035601 PECOS PAC ID: 9133019821 Enrollment ID: O20040416000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Mormando, DO 410 Hallock Ave, Port Jefferson Station, NY 11776-1232 Ph: (631) 642-1100 | Dr Robert Mormando, DO 410 Hallock Ave, Port Jefferson Station, NY 11776-1232 Ph: (631) 642-1100 |
Dr. Michael W Mendelson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5360 Nesconset Hghy, Suite B, Port Jefferson Station, NY 11776 Phone: 631-331-3200 Fax: 631-331-3694 | |
Matias M Dcosta, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7200 Fax: 631-331-8636 | |
Kinjal Amit Gosalia, STUDENT Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-758-7003 Fax: 631-751-0506 | |
Zarlasht Khan, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112, Port Jefferson Station, NY 11776 Phone: 631-743-6840 | |
Anil Sangwan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 Fax: 631-473-4427 | |
Anish Desai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-978-7633 Fax: 631-621-4119 | |
Peter Ottavio, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 Route 112 Ste B, Port Jefferson Station, NY 11776 Phone: 631-978-7633 Fax: 631-621-4115 |