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SOUTHFORK PODIATRY PC
NPI 1528149267
Podiatrist in Hampton Bays, NY

Active since October 18, 2006
23 W MONTAUK HWY, HAMPTON BAYS, NY 11946(631) 728-4040(631) 728-4042 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southfork Podiatry Pc NPPES

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

SOUTHFORK PODIATRY PC (NPI 1528149267) is a healthcare organization registered as a podiatrist in Hampton Bays, New York and active in the NPI registry since October 2006. The organization lists Michael Katz, Partner, as its authorized official.

NPPES Registry Identity

NPI1528149267
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSOUTH FORK PODIATRY PC
Location Address23 W MONTAUK HWYHampton Bays, NY 11946-4001
Mailing Address23 W Montauk HwyHampton Bays, NY 11946-4001 · (631) 728-4040 · Fax (631) 728-4042
Phone(631) 728-4040
Fax(631) 728-4042
Organization SubpartNo
Authorized OfficialMichael KatzPartner · (631) 728-4040
Enumeration DateOctober 18, 2006
Last NPPES UpdateJanuary 23, 2019
✔ NPI 1528149267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
23 W MONTAUK HWY, Hampton Bays, NY 11946
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Other Names 1

Doing Business AsSouthfork Podiatry Pc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southfork Podiatry Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southfork Podiatry PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Michael Katz, DPM
Podiatry
NPI 1235221870
23 WEST MONTOUK HIGHWAY
Hampton Bays, NY 11946
(631) 728-4040
✔ PECOS✔ Accepts Medicare0.1 mi
William Levine
Podiatry
NPI 1407910292
8010 4TH AVE
Brooklyn, NY 11209
(718) 883-1600
✔ PECOS✔ Accepts Medicare81 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Podiatry PC's NPI number?

The NPI number for South Fork Podiatry PC is 1528149267. It was assigned to this organization in the NPPES registry on October 18, 2006. The provider is doing business as Southfork Podiatry PC.

Where is South Fork Podiatry PC located?

South Fork Podiatry PC is located at 23 W Montauk Hwy, Hampton Bays, NY 11946. The listed phone number is (631) 728-4040.

What is South Fork Podiatry PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is South Fork Podiatry PC enrolled in Medicare?

Yes. South Fork Podiatry PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Fork Podiatry PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to South Fork Podiatry PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Fork Podiatry PC was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.