Medical Weight Management

LBN: John T Mather Memorial Hospital
Medical Weight Management is an health care organization with primary practice located at 625 Belle Terre Rd Suite 203, Port Jefferson NY 11777-2316. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Metabolic, Physician Assistants & Advanced Practice Nursing Providers / Medical. Dietary & Nutritional Service Providers / Nutrition, Metabolic is the primary health care specialty. John T Mather Memorial Hospital can be contacted via phone (631) 686-7897, or through Wisnoski, Joseph via phone (631) 473-1320.

Contact Information

Primary practice address
625 Belle Terre Rd Suite 203 Port Jefferson NY 11777-2316
Phone: (631) 686-7897
Fax: (631) 686-2503
Website:
Map and Directions
Authorized official contact:
Name: Wisnoski, Joseph CFO
Phone: (631) 473-1320

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1265844716
LBN Legal business name John T Mather Memorial Hospital
DBA Doing business as Medical Weight Management
Authorized official Wisnoski, Joseph CFO
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2014
Last updated Aug 27th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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