VILLAGE INTERNAL MEDICINE GROUP – NPI #1003889023
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

VILLAGE INTERNAL MEDICINE GROUP is a provider located in PORT JEFFERSON, NY. NPPES has assigned the NPI number 1003889023 to VILLAGE INTERNAL MEDICINE GROUP on February 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 15 years ago on Dec 29, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VILLAGE INTERNAL MEDICINE GROUP below.

NPI Profile for
VILLAGE INTERNAL MEDICINE GROUP

NPI Number
1003889023
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VILLAGE INTERNAL MEDICINE GROUP
Primary location
710 MAIN STREET
PORT JEFFERSON, NY 11777
Phone: (631) 474-4000 Fax: (631) 474-4011
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK DIBENEDETTO
MD/PRESIDENT
Phone: (631) 474-4000
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
NY 172308

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.