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SOUTH CARRIAGE
NPI 1467962977
Podiatrist - Foot & Ankle Surgery in Medina, NY

Active since October 10, 2017
512 BEACH DR, MEDINA, NY 14103(585) 331-6752(585) 331-6752 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Carriage NPPES

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

SOUTH CARRIAGE (NPI 1467962977) is a healthcare organization registered as a foot & ankle surgery in Medina, New York and active in the NPI registry since October 2017. The organization lists John Moriarty, Physician, as its authorized official.

NPPES Registry Identity

NPI1467962977
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSOUTH CARRIAGE
Location Address512 BEACH DRMedina, NY 14103-1004
Mailing AddressPo Box 70243Staten Island, NY 10307-0243 · (585) 331-6752
Phone(585) 331-6752
Fax(585) 331-6752
Organization SubpartNo
Authorized OfficialJohn MoriartyPhysician · (585) 331-6752
Enumeration DateOctober 10, 2017
✔ NPI 1467962977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NY · 006888
512 BEACH DR, Medina, NY 14103
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN MORIARTY
Podiatrist (Foot & Ankle Surgery)
512 BEACH DR
MEDINA, NY 14103
Orleans County No phone listed

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 Carriage's NPI number?

The NPI number for South Carriage is 1467962977. It was assigned to this organization in the NPPES registry on October 10, 2017.

Where is South Carriage located?

South Carriage is located at 512 Beach Dr, Medina, NY 14103. The listed phone number is (585) 331-6752.

What is South Carriage's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for South Carriage was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.