South Fork Podiatry PC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SOUTH FORK PODIATRY PC

Doing business as

southfork podiatry pc

Practice address

23 W Montauk Hwy
Hampton Bays, NY 11946-4001

Phone

(631) 728-4040

Fax

(631) 728-4042

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Katz, DPMNPI 1235221870

Title

Partner

Phone

(631) 728-4040

Specialties & licenses 1

Addresses

Other names 1

• southfork podiatry pc Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Katz, DPM

  • Podiatrist
  • Hampton Bays, NY
  • NPI 1235221870
  Medicare reassignment NPD Authorized official
• William M Levine

  • Specialist
  • Brooklyn, NY
  • NPI 1407910292
  Medicare reassignment NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1528149267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119464001",
            "telephone_number": "631-728-4040",
            "fax_number": "631-728-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119464001",
            "telephone_number": "631-728-4040",
            "fax_number": "631-728-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FORK PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-728-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "southfork podiatry pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Silvera, MD
• Hana Rose Simpson-Heavey
• Mary Beth Somma, RN
• Pirjo Sorgi, NP
• South Fork Optical Center, Inc.
• Southampton Pediatric Associates PC
• Brooke Sparacio
• Maureen Elizabeth Stefanidis
• Joanne Marie Taylor, REGISTERED NURSE
• The Stop & Shop Supermarket Company LLC (Stop & Shop Pharmacy #2551)

• Podiatrist in Hampton Bays, NY
• Providers in Hampton Bays, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.