Mather Faculty Medical Affiliates, University Faculty Practice Corpora is a Gastroenterology Physician (organization) practicing in Port Jefferson Station, New York. The National Provider Identifier (NPI) is #1598607269, which was assigned on April 9, 2026, and the registration record was last updated on April 9, 2026. The practitioner's main practice location is at 1500 Route 112 Bldg 5, Port Jefferson Station, NY 11776-8055; the contact telephone number is 6318283400, and the fax number is 6318283244. The primary taxonomy of Mather Faculty Medical Affiliates, University Faculty Practice Corpora is Gastroenterology Physician (207RG0100X), with specialization in Gastroenterology. The authorized official for Mather Faculty Medical Affiliates, University Faculty Practice Corpora is Sharlene Bronstorph (Director).
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
| NPI | 1598607269 |
| Entity Type | Organization |
| Organization Name | MATHER FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CORPORA |
| Provider Name | MATHER FACULTY MEDICAL AFFILIATES, UNIVERSITY FACULTY PRACTICE CORPORA |
| Practice Address |
1500 Route 112 Bldg 5 Port Jefferson Station NY 11776-8055 |
| Practice Telephone | 6318283400 |
| Practice Fax Number | 6318283244 |
| Mailing Address |
101 Nicholls Road Stony Brook NY 11794-0001 |
| Mailing Telephone | 6316898333 |
| Mailing Fax Number | 6317515971 |
| Certification Date | 2026-04-09 |
| Enumeration Date | 2026-04-09 |
| Last Update Date | 2026-04-09 |
| Is Organization Subpart | N |
| Official Name | SHARLENE BRONSTORPH |
| Official Title | DIRECTOR |
| Telephone | 5168503999 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 193200000X MULTI-SPECIALTY GROUP | |||
| Y | 207RG0100X | Internal Medicine | Gastroenterology | 193200000X MULTI-SPECIALTY GROUP |
| Address | Telephone | Fax |
|---|---|---|
| 200 Belle Terre Rd, Port Jefferson, NY 117771928 | 6314746000 | 6317515971 |
| 271 Route 25A Ste 1, Wading River, NY 117922014 | 6317518700 | 6319291762 |
| 3001 Expressway Dr N Ste 102, Islandia, NY 117495301 | 6317518700 | 6317515971 |
| 6144 Route 25A Ste D21, Wading River, NY 117922018 | 6317518700 | 6317515971 |
| 70 N Country Rd Ste 101, Port Jefferson, NY 117772161 | 6319787700 | 6317515971 |
| 75 N Country Rd, Port Jefferson, NY 117772119 | 6314731320 | 6317515971 |
| Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| Classification | Internal Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kenneth Shan Md Inc | 612 W Duarte Rd Ste 601, Arcadia, CA 91007-9240 | Gastroenterology Physician | 2026-03-12 |
| Cape Fear Valley Health Medical Group LLC | 2041 Valleygate Dr Ste 101, Fayetteville, NC 28304-3746 | Gastroenterology Physician | 2026-04-10 |
| Digestive Health La | 8631 W 3rd St Ste 1015, Los Angeles, CA 90048-5913 | Gastroenterology Physician | 2026-02-17 |
| Abington Memorial Hospital | 1235 Old York Rd Ste G20, Abington, PA 19001-3839 | Gastroenterology Physician | 2026-03-18 |
| Arkansas Liver and Gastroenterology | 3215 Old Greenwood Road, Suite A, Fort Smith, AR 72903-5375 | Gastroenterology Physician | 2026-03-04 |
| Anusha Jiwani | 4780 Sweetwater Blvd Ste 100, Sugar Land, TX 77479-3163 | Gastroenterology Physician | 2026-03-12 |
| Gi Ghevariya PC | 15035 E 14th St, San Leandro, CA 94578-1901 | Gastroenterology Physician | 2026-03-09 |
| Agi Solutions PLLC | 8901 Tehama Ridge Pkwy Ste 670, Fort Worth, TX 76177-2031 | Gastroenterology Physician | 2026-02-25 |
| Craig R Gluckman, M.D., A Medical Corporation | 16661 Ventura Blvd Ste 818, Encino, CA 91436-1999 | Gastroenterology Physician | 2026-04-04 |
| Gables Gastro PLLC | 420 S Dixie Hwy Ste 4e, Coral Gables, FL 33146-2232 | Gastroenterology Physician | 2026-02-17 |
| Find all providers with the same taxonomy | |||
| Street Address |
1500 ROUTE 112 BLDG 5 |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip Code | 11776-8055 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Benjamin Berson | 1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8055 | Student in an Organized Health Care Education/Training Program | 2019-03-19 |
| Emily Baird | 1500 Route 112 Bldg 4, Port Jefferson Station, NY 11776-8055 | Family Nurse Practitioner | 2026-01-07 |
| Alyssa Murphy · Alyssa D'Oro | 1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8055 | Adult Health Nurse Practitioner | 2022-08-23 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Shanna L Marte · Shanna L Scanlon | 299 Hallock Avenue, Poa Jefferson Station, NY 11776 | Specialist | 2025-10-09 |
| Amy Patricia Mckee | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | Early Intervention Provider Agency | 2026-01-06 |
| Sonshine Counseling & Consulting LLC | 1050 Hallock Ave Ste 2, Port Jefferson Station, NY 11776-1214 | Clinical Social Worker | 2025-12-26 |
| Jennifer L Walling | 299 Hallock Ave, Port Jeff Sta, NY 11776-1217 | Specialist | 2026-02-05 |
| Caroline Catherine Fiordalisi | 5225-15 Nesconset Hwy, Building 2, Port Jefferson Station, NY 11776 | Adult Health Nurse Practitioner | 2025-07-29 |
| Mary Reilly Harrington | 1050 Hallock Ave, Port Jefferson Station, NY 11776-1214 | Clinical Social Worker | 2007-02-18 |
| Hira Chaudhary | 49 Ny-347, Port Jefferson Station, NY 11776 | Hematology & Oncology Physician | 2018-04-05 |
| Lynne Fallica | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | Specialist | 2026-03-28 |
| Donna S. Demian | 1050 Hallock Ave, Suite 1, Port Jefferson Station, NY 11776-1214 | Clinical Social Worker | 2006-08-21 |
| Merissa C Singh | 299 Hallock Ave, Port Jefferson Station, NY 11776-1217 | Behavior Technician | 2026-03-27 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Southside Faculty Medical Affiliates University Faculty Practice Corp | 1220 Hicksville Rd, Seaford, NY 11783-1604 | Body Imaging Physician | 2021-04-28 |
| Huntington Faculty Medical Affiliates, University Faculty Practice Cor | 533 Route 111, Hauppauge, NY 11788-4350 | Family Medicine Physician | 2026-04-09 |
| College of Nursing Faculty Practice | 1321 S Paulina St, Rm 109, Chicago, IL 60608-1221 | Student Health Clinic/Center | 2013-08-21 |
| College of Nursing Faculty Practice | 2245 W Jackson Blvd, Chicago, IL 60612-2910 | Student Health Clinic/Center | 2013-08-21 |
| Bimc Faculty Practice | 1st Avenue & 16th Street, Department of Radiology, New York, NY 10003-4901 | Body Imaging Physician | 2007-05-15 |
| Staten Island Faculty Medical Affiliates, University Faculty Practice | 1441 South Ave, Staten Island, NY 10314-3779 | Internal Medicine Physician | 2026-03-19 |
| Rutgers Nursing Faculty Practice | 449 Broad St, Newark, NJ 07102-3224 | Federally Qualified Health Center (FQHC) | 2018-04-30 |
| Cwru Faculty Dental Practice | 2123 Abington Road, Cleveland, OH 44106-4905 | Endodontist | 2006-12-12 |
| Phelps Faculty Medical Affiliates, University Faculty Practice Corpora | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | Physician Assistant | 2024-07-08 |
| College of Nursing Faculty Practice | 730 N Pulaski Rd, Chicago, IL 60624-1063 | Student Health Clinic/Center | 2013-08-14 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |