North Fork Orthopaedic and Sports Medicine PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NORTH FORK ORTHOPAEDIC AND SPORTS MEDICINE PLLC

Practice address

55 Sound Avenue
Mattituck, NY 11952

Phone

(631) 298-4579

Fax

(631) 298-4852

NPI assigned

May 31, 2007

Last updated

Feb 4, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fred M. Carter II, M.D.

Title

Owner

Phone

(631) 298-4579

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1396946844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SOUND AVENUE",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "11952",
            "telephone_number": "631-298-4579",
            "fax_number": "631-298-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SOUND AVENUE",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "11952",
            "telephone_number": "631-298-4579",
            "fax_number": "631-298-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FORK ORTHOPAEDIC AND SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-298-4579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry A Murphy, MD
• Kristina Marie Niemynski, DC
• North Fork Dental Associates PC
• North Fork Integrative Strategies, Inc.
• North Fork Optical Center, LTD
• Antoinette Plocek Notaro, M.D.
• Kristin Eileen Oliver, OTR
• Steven Orlowski
• Katie Owens, D.O.
• Carol Ann Payton, PMH-NP

• Orthopaedic Surgery Physician in Mattituck, NY
• Providers in Mattituck, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.