NORTH FORK SURGERY CENTER LLC – NPI #1295365864
Clinic/Center

NORTH FORK SURGERY CENTER LLC is an AHC clinic located in SOUTHOLD, NY. NPPES has assigned the NPI number 1295365864 to NORTH FORK SURGERY CENTER LLC on January 22, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Jan 23, 2026. 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 NORTH FORK SURGERY CENTER LLC below.

NPI Profile for
NORTH FORK SURGERY CENTER LLC

NPI Number
1295365864
Enumeration Date

(more than 6 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
NORTH FORK SURGERY CENTER LLC
Primary location
700 BOISSEAU AVE
SOUTHOLD, NY 11971
Phone: (631) 477-5353 Fax: (631) 477-5891
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
FRANK ADIPIETRO
MEDICAL DIRECTOR
Phone: (631) 774-9292
Updated
Certification Date
Jan 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

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.