NORTH FORK PODIATRY ASSOCIATES NPI 1720266208

NPI Information

  • NPI: 1720266208
  • Provider Name: NORTH FORK PODIATRY ASSOCIATES
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Address: 44210 ROUTE 48
    SOUTHOLD, NY
    ZIP 11971
  • Phone: (631) 765-6777

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NPI Details

NORTH FORK PODIATRY ASSOCIATES is a podiatrist in Southold, NY. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. NORTH FORK PODIATRY ASSOCIATES NPI is 1720266208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

44210 ROUTE 48
SOUTHOLD, NY
ZIP 11971-146
Phone: (631) 765-6777
Fax: (631) 765-6933

The provider's authorized official is Robin Ross .
The authorized official title is Owner and has the following contact phone number (631) 765-6777.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 4/20/2008.

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
1213E00000XPodiatristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P6W061MEDICARE PINNEW YORK
25500180001MEDICARE NSCNEW YORK
3=========OTHERNEW YORKTIN

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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