| Mather Faculty Medical Affiliates, University Faculty Practice Corp | |
|
1500 Route 112 Bldg 5 Port Jefferson Station NY 11776-8055 | |
| (631) 828-3400 | |
| (631) 828-3244 |
| Full Name | Mather Faculty Medical Affiliates, University Faculty Practice Corp |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1500 Route 112 Bldg 5, Port Jefferson Station, New York |
| Authorized Official Name and Position | Sharlene Bronstorph (DIRECTOR) |
| Authorized Official Contact | 5168503999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mather Faculty Medical Affiliates, University Faculty Practice Corp 101 Nicholls Road Stony Brook NY 11794-0001 Ph: (631) 689-8333 | Mather Faculty Medical Affiliates, University Faculty Practice Corp 1500 Route 112 Bldg 5 Port Jefferson Station NY 11776-8055 Ph: (631) 828-3400 |
| NPI Number | 1598607269 |
|---|---|
| Provider Enumeration Date | 04/09/2026 |
| Last Update Date | 04/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598607269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Michael W. Mendelson, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5360 Nesconset Hwy Ste B, Port Jefferson Station, NY 11776 Phone: 631-331-3200 Fax: 631-331-3694 | |
Harbor Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002 Fax: 206-202-3956 | |
Gastroenterology Associates Of Suffolk, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7200 Fax: 631-331-8636 | |
San Roman Fertility Medicine, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5225 Rte 347 Ste 43, Port Jefferson Station, NY 11776 Phone: 631-500-2626 Fax: 631-516-3647 | |
Port Jeff Medical Care, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-642-1100 Fax: 631-642-1190 | |
North Shore Immediate Medical Care P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Patchogue Rd, Port Jefferson Station, NY 11776 Phone: 631-331-1100 Fax: 631-331-0223 | |
Haven Medical Services, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 Route 112, Port Jefferson Station, NY 11776 Phone: 631-473-3304 Fax: 631-474-1692 |