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EDWARD J GAYDOS DPM PC
NPI 1255511705
Podiatrist in Schuylkill Haven, PA

Active since November 13, 2007
111 LILLY ST, SCHUYLKILL HAVEN, PA 17972(570) 385-1190(570) 385-1190 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edward J Gaydos Dpm Pc NPPES

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

EDWARD J GAYDOS DPM PC (NPI 1255511705) is a healthcare organization registered as a podiatrist in Schuylkill Haven, Pennsylvania and active in the NPI registry since November 2007. The organization lists Edward J Gaydos, Owner, as its authorized official.

NPPES Registry Identity

NPI1255511705
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameEDWARD J GAYDOS DPM PC
Location Address111 LILLY STSchuylkill Haven, PA 17972-1153
Mailing Address111 Lilly StSchuylkill Haven, PA 17972-1153 · (570) 385-1190 · Fax (570) 385-1190
Phone(570) 385-1190
Fax(570) 385-1190
Organization SubpartNo
Authorized OfficialEdward J GaydosOwner · (570) 385-1190
Enumeration DateNovember 13, 2007
Last NPPES UpdateMay 6, 2009
✔ NPI 1255511705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in PA · SC003058L
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.
111 LILLY ST, Schuylkill Haven, PA 17972
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Other Identifiers 2

Medicare NSC1119540001PA
Medicare PIN094405PA

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)

Edward J Gaydos Dpm Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Edward J Gaydos DPM PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Edward Gaydos, DPM
Podiatry
NPI 1306876453
111 LILLY ST
Schuylkill Haven, PA 17972
(570) 385-1190
✔ PECOSSame address

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 Edward J Gaydos Dpm PC's NPI number?

The NPI number for Edward J Gaydos Dpm PC is 1255511705. It was assigned to this organization in the NPPES registry on November 13, 2007.

Where is Edward J Gaydos Dpm PC located?

Edward J Gaydos Dpm PC is located at 111 Lilly St, Schuylkill Haven, PA 17972. The listed phone number is (570) 385-1190.

What is Edward J Gaydos Dpm PC's specialty?

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

Is Edward J Gaydos Dpm PC enrolled in Medicare?

Yes. Edward J Gaydos Dpm PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Edward J Gaydos Dpm PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Edward J Gaydos Dpm 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Edward J Gaydos Dpm PC was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.