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SOUTHERN TIER PODIATRY PLLC
NPI 1831439660
Podiatrist in Vestal, NY

Active since February 14, 2013
4104 OLD VESTAL RD, SUITE 104, VESTAL, NY 13850(607) 217-5668(607) 821-0255 Get Directions Write a Review

NPPES record last updated: July 2, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Tier Podiatry Pllc NPPES

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

SOUTHERN TIER PODIATRY PLLC (NPI 1831439660) is a healthcare organization registered as a podiatrist in Vestal, New York and active in the NPI registry since February 2013. The organization lists Marilyn S Boyuka, Owner, as its authorized official.

NPPES Registry Identity

NPI1831439660
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameSOUTHERN TIER PODIATRY PLLC
Location Address4104 OLD VESTAL RD, SUITE 104Vestal, NY 13850-3500
Mailing Address4104 Old Vestal Rd, Suite 104Vestal, NY 13850-3500 · (607) 217-5668 · Fax (607) 821-0255
Phone(607) 217-5668
Fax(607) 821-0255
Organization SubpartNo
Authorized OfficialMarilyn S BoyukaOwner · (607) 217-5668
Enumeration DateFebruary 14, 2013
Last NPPES UpdateJuly 2, 2013
✔ NPI 1831439660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
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.
4104 OLD VESTAL RD, Vestal, NY 13850
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Tier Podiatry Pllc 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 Southern Tier Podiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marilyn Boyuka, DPM
Podiatry
NPI 1447286638
4104 OLD VESTAL RD SUITE 104
Vestal, NY 13850
(607) 217-5289
✔ PECOS✔ Accepts MedicareSame 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 Southern Tier Podiatry PLLC's NPI number?

The NPI number for Southern Tier Podiatry PLLC is 1831439660. It was assigned to this organization in the NPPES registry on February 14, 2013.

Where is Southern Tier Podiatry PLLC located?

Southern Tier Podiatry PLLC is located at 4104 Old Vestal Rd Suite 104, Vestal, NY 13850. The listed phone number is (607) 217-5668.

What is Southern Tier Podiatry PLLC's specialty?

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

Is Southern Tier Podiatry PLLC enrolled in Medicare?

Yes. Southern Tier Podiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Tier Podiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Southern Tier Podiatry PLLC. 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 Southern Tier Podiatry PLLC was last updated on July 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.