NORTH FORK SURGERY CENTER LLC
NPI 1295365864
Clinic/Center - Ambulatory Surgical in Southold, NY

NPI Status: Active since January 22, 2020

Contact Information

700 BOISSEAU AVE
SOUTHOLD, NY
ZIP 11971
Phone: (631) 477-5353
Fax: (631) 477-5891

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 33D2166718
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-26-2027

About NORTH FORK SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for North Fork Surgery Center Llc, a provider established in Southold, New York operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1295365864 assigned on January 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Frank J Adipietro Jr. Md (Medical Director)

NPI
1295365864
Provider Name
NORTH FORK SURGERY CENTER LLC
Entity Type
Organization
Location Address
700 BOISSEAU AVE SOUTHOLD, NY 11971
Location Phone
(631) 477-5353
Location Fax
(631) 477-5891
Mailing Address
700 BOISSEAU AVE SOUTHOLD, NY 11971
Mailing Phone
(631) 477-5353
Mailing Fax
(631) 477-5891
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-22-2020
Last Update Date
05-13-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FRANK J ADIPIETRO JR. MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(631) 477-5353

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 84 times for 49 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 73 times for 73 patients

Biopsy of large bowel using a flexible endoscope

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

This service was performed 53 times for 53 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

This service was performed 16 times for 16 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 32 times for 19 patients

Diagnostic exam of large bowel using a flexible endoscope

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

This service was performed 58 times for 57 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 571 times for 183 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 75 times for 30 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 688 times for 329 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 190 times for 89 patients

Placement of stabilizing device to lower spine level

The placement of a stabilizing device to the lower spine level is a procedure aimed at providing support to your back. It involves positioning a device in your lower spine to help maintain its alignment and stability, reducing pain and improving mobility.

This service was performed 19 times for 18 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 20 times for 20 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2166718
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 23, 2019
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. FRANK ADIPIETRO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Fork Surgery Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for NORTH FORK SURGERY CENTER LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295365864
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221856610812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 6 + 6 + 1 + 0 + 8 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1295365864 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275134314NORTH FORK SURGERY CENTER LLC
Organization
Anesthesiology700 BOISSEAU AVE
SOUTHOLD, NY 11971
(631) 477-5353
1568223923EASTERN SUFFOLK SPINE AND PAIN MEDICINE, PLLC
Organization
Pain Medicine (Interventional Pain Medicine)700 BOISSEAU AVE
SOUTHOLD, NY 11971
(631) 477-5353
1275848970DR. SAMUEL PEARCE BROWN D.O.
Individual
Physical Medicine & Rehabilitation (Pain Medicine)700 BOISSEAU AVE
SOUTHOLD, NY 11971
(631) 477-5353

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295365864, enumerated in the NPI registry as an "organization" on January 22, 2020

The provider is located at 700 Boisseau Ave Southold, Ny 11971 and the phone number is (631) 477-5353

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The most common procedures or services performed by this practitioner are: Aspiration and/or injection of fluid from large joint, Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, Biopsy of large bowel using a flexible endoscope, Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint, Diagnostic exam of large bowel using a flexible endoscope, Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level, Injection of lower or sacral spine facet joint using imaging guidance, single level, Injection of substance into lower spine canal using imaging guidance, Injection of substance into middle or upper spine canal using imaging guidance, Placement of stabilizing device to lower spine level and Removal of polyps or growths of large bowel using an endoscope with mechanical snare.

The provider's CLIA number is 33D2166718 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 22, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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