Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

South Fork Medical Associates PC

Organization Registered Dietitian · NPI 1144288077

South Fork Medical Associates PC is a Registered Dietitian in Southampton, New York. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

238 Old Town Rd
Southampton, NY 11968
Phone: (631) 283-2100
Fax: (631) 283-5731
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Internal Medicine Physician Taxonomy 207R00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1144288077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Israel — Practices Managing Member · (631) 283-2100
NPI enumeratedMay 2, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 2340, Southampton, NY 11969-2340

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