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SOUTH FORK MEDICAL ASSOCIATES PC
NPI 1144288077
Dietitian, Registered in Southampton, NY

Active since May 02, 2006
238 OLD TOWN ROAD, SOUTHAMPTON, NY 11968(631) 283-2100(631) 283-5731 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About South Fork Medical Associates Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH FORK MEDICAL ASSOCIATES PC (NPI 1144288077) is a healthcare organization registered as a dietitian, registered in Southampton, New York and active in the NPI registry since May 2006. The organization lists Michael B Israel, Practices Managing Member, as its authorized official.

NPPES Registry Identity

NPI1144288077
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameSOUTH FORK MEDICAL ASSOCIATES PC
Location Address238 OLD TOWN ROADSouthampton, NY 11968
Mailing AddressPo Box 2340Southampton, NY 11969-2340 · (631) 283-2100 · Fax (631) 283-5731
Phone(631) 283-2100
Fax(631) 283-5731
Organization SubpartNo
Authorized OfficialMichael B IsraelPractices Managing Member · (631) 283-2100
Enumeration DateMay 2, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1144288077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedSurgeryTaxonomy 208600000X
238 OLD TOWN ROAD, Southampton, NY 11968
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Fork Medical Associates PC's NPI number?

The NPI number for South Fork Medical Associates PC is 1144288077. It was assigned to this organization in the NPPES registry on May 2, 2006.

Where is South Fork Medical Associates PC located?

South Fork Medical Associates PC is located at 238 Old Town Road, Southampton, NY 11968. The listed phone number is (631) 283-2100.

What is South Fork Medical Associates PC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for South Fork Medical Associates PC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.