PODIATRY SERVICES OF CENTRAL NEW YORK, PC
NPI 1083097919
Podiatrist - Foot & Ankle Surgery in Central Square, NY
About Podiatry Services Of Central New York, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PODIATRY SERVICES OF CENTRAL NEW YORK, PC (NPI 1083097919) is a healthcare organization registered as a foot & ankle surgery in Central Square, New York and active in the NPI registry since July 2015. The organization lists Freddie L Edelman, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Podiatry Services Of Central New York, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
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 Podiatry Services Of Central New York, PC's NPI number?
The NPI number for Podiatry Services Of Central New York, PC is 1083097919. It was assigned to this organization in the NPPES registry on July 9, 2015.
Where is Podiatry Services Of Central New York, PC located?
Podiatry Services Of Central New York, PC is located at 2187 County Rte. 12, Central Square, NY 13036. The listed phone number is (315) 668-9532.
What is Podiatry Services Of Central New York, PC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Podiatry Services Of Central New York, PC enrolled in Medicare?
Yes. Podiatry Services Of Central New York, PC is registered in the Medicare PECOS enrollment system.
When is Podiatry Services Of Central New York, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New York, Physician - General Surgery) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Podiatry Services Of Central New York, PC was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Podiatry Services Of Central New York, Pc · NPI 1083097919
Foot & Ankle Surgery organization in Central Square, New York. Organization record, active in the CMS NPPES registry since July 9, 2015.
## Identity
- **NPI:** 1083097919 (Entity type: Organization)
- **Enumerated:** July 9, 2015
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Freddie Edelman, OWNER
## Practice location
- **Address:** 2187 COUNTY RTE. 12, Central Square, NY 13036
- **Phone:** (315) 668-9532 · **Fax:** (315) 668-0164
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, New York, Physician - General Surgery) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2015
- **Other identifiers:** Medicare PIN 53631A (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1083097919) · Data from the CMS NPPES public registry.