John T. Mather Memorial Hospital
General Acute Care Hospital
75 N Country Rd, Port Jefferson
New York, 11777-2119
631-473-1320 631-686-1459
John T. Mather Memorial Hospital is a General Acute Care Hospital in Port Jefferson, New York. It is located at 75 N Country Rd, Port Jefferson and it's customer support contact number is 631-473-1320. The authorized person of John T. Mather Memorial Hospital is Mrs. Michele L Cusack who is Evp & Cfo of the pharmacy and her contact number is 516-321-6058. Active license number of John T. Mather Memorial Hospital is 5149000 for General Acute Care Hospital in New York. John T. Mather Memorial Hospital accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
John T. Mather Memorial Hospital is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Pharmacy Details:
John T. Mather Memorial Hospital type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | John T. Mather Memorial Hospital |
| Type: | General Acute Care Hospital |
| Location: | 75 N Country Rd, Port Jefferson,
New York, 11777-2119 |
| Phone: | 631-473-1320 |
| Fax: | 631-686-1459 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Michele L Cusack |
| Position: | Evp & Cfo |
| Contact Number: | 516-321-6058 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1093718728 |
| NPI Enumeration Date: | 27 May, 2005 |
| NPI Last Update On: | 28 Jul, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John T. Mather Memorial Hospital are as mentioned below.
| Specialization | License Number | State | Status | |
| General Acute Care Hospital | 5149000 | New York | Primary | |
| Psychiatric Unit | 5149000 | New York | Secondary | |
| Skilled Nursing Facility | 5149000 | New York | Secondary | |
| Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1206575 | Medicaid | Massachusetts | |
| 21920 | Medicaid | Maryland | |
| 100822 | Medicaid | Washington | |
| 3300185 | Medicaid | North Carolina | |
| HSP42196 | Medicaid | California | |
| 110851658 | Medicaid | Pennsylvania | |
| HSP32196 | Medicaid | California | |
| 00274364 | Medicaid | New York | |
| 3044310 | Medicaid | Connecticut | |
| 6004504 | Medicaid | New Jersey | |
Medicare Enrollment:
John T. Mather Memorial Hospital is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 1254237753 | O20060413000075 | John T Mather Memorial Hospital | PART A PROVIDER - HOSPITAL |
| 1254237753 | O20081202000549 | John T Mather Memorial Hospital | PART A PROVIDER - HOSPITAL |
| 1254237753 | O20140219000075 | John T Mather Memorial Hospital | PART A PROVIDER - HOSPITAL |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 75 N Country Rd,
Port Jefferson, New York |
| Zip: | 11777-2190 |
| Phone Number: | 631-473-1320 |
| Fax Number: | 631-473-5254 |
Patients can reach John T. Mather Memorial Hospital at
75 N Country Rd, Port Jefferson, New York or can
call on customer care at 631-473-1320.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.