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South Fork Medical Associates PC

NPI 1144288077ActiveOrganization· Dietitian, Registered· Southampton, NY

Dietitian, Registered in Southampton, New York, registered in NPPES in May 2006. The authorized official on file is Michael B. Israel, MD, Practices Managing Member.

Overview

NPI1144288077
StatusActive
Entity typeOrganization
NPI issuedMay 2, 2006
Last updated in NPPESSep 11, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Dietitian, Registered Primary133V00000X——
Internal Medicine207R00000X——
Surgery208600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other registered dietitians in Southampton

All registered dietitians in New York