NORTH FORK SURGERY CENTER LLC NPI 1295365864

NPI Information

  • NPI: 1295365864
  • Provider Name: NORTH FORK SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 33D2166718
  • Address: 700 BOISSEAU AVE
    SOUTHOLD, NY
    ZIP 11971
  • Phone: (631) 477-5353

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NPI Details

NORTH FORK SURGERY CENTER LLC is an ambulatory surgical clinic center in Southold, NY. NORTH FORK SURGERY CENTER LLC NPI is 1295365864. The provider is registered as an organization entity type.

The provider's business location address is:

700 BOISSEAU AVE
SOUTHOLD, NY
ZIP 11971
Phone: (631) 477-5353
Fax: (631) 477-5891

The provider's authorized official is Frank J Adipietro .
The authorized official title is Medical Director and has the following contact phone number (631) 477-5353.

The CLIA number assigned to this NPI record is 33D2166718 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
  • Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
  • Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Placement of stabilizing device to lower spine level (HCPCS:22869)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)

The enumeration date for this NPI number is 1/22/2020 and was last updated on 5/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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