NORTH FORK SURGERY CENTER LLC (NPI# 1295365864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295365864 |
| Entity Type | Organization |
| Organization Name | NORTH FORK SURGERY CENTER LLC |
| Practice Address |
700 Boisseau Ave Southold NY 11971 |
| Mailing Address |
700 Boisseau Ave Southold NY 11971-0727 |
| Practice Telephone | 6314775353 |
| Practice Fax Number | 6314775891 |
| Mailing Telephone | 6314775353 |
| Mailing Fax Number | 6314775891 |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | FRANK J ADIPIETRO JR. (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6314775353 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134314 | North Fork Surgery Center LLC | Anesthesiology | 700 Boisseau Ave, Southold, NY 11971-2926 | 2020-11-05 |
| Street Address |
700 BOISSEAU AVE |
| City | SOUTHOLD |
| State | NY |
| Zip Code | 11971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134314 | North Fork Surgery Center LLC | Anesthesiology | 700 Boisseau Ave, Southold, NY 11971-2926 | 2020-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477023950 | Danielle Lee Ruquet | Counselor | 44210 Rt. 48 North Road, Southold, NY 11971 | 2018-11-28 |
| 1538663687 | Maureen O'donnell | Registered Nurse | 540 Maple Lane, Southhold, NY 11971 | 2018-03-22 |
| 1710421078 | Svc of Southold LLC | Eyewear Supplier (Equipment, not the service) | 44210 Rte 48, Ste. 1, Southold, NY 11971 | 2016-12-06 |
| 1083160378 | Olha Michalak | Licensed Practical Nurse | 555 Clearview Ave, Southold, NY 11971 | 2016-08-28 |
| 1780036947 | Megan Hays | Nurse Practitioner | 44210 Middle Road Route 48, Southold, NY 11971 | 2016-07-12 |
| 1215336979 | Patricia Anne Buerkle | Clinical Nurse Specialist | 100 Center Drive, Sccf Jail Medical, Riverhead, NY 11971 | 2014-08-19 |
| 1407191364 | East End Physician Services PC | Internal Medicine | 44210 County Rd. 48, Southold, NY 11971 | 2012-12-04 |
| 1558648782 | Janice Marie Conover | Registered Nurse | 895 Top Sail Lane, Southold, NY 11971 | 2011-11-16 |
| 1255640132 | Nicholas Kardaras | Social Worker | 53480 Main Road Route 25, Suite 1, Southold, NY 11971 | 2010-09-27 |
| 1700030319 | Mary Anne Soto | Registered Nurse | 5045 Main Bayview Road, Southold, NY 11971 | 2008-11-10 |
| Find all providers in zip 11971 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
| 1780206292 | Greece Asc, LLC | Clinic/Center | 135 Canal Landing Blvd, Rochester, NY 14626-5104 | 2020-05-07 |
| 1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
| 1043845340 | Northeast Endoscopy LLC | Clinic/Center | 235 N Belle Mead Ave, East Setauket, NY 11733-3456 | 2020-03-06 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
| 1598328932 | Endo Group, LLC | Clinic/Center | 240 Jericho Tpke, Syosset, NY 11791-4504 | 2019-04-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.