EAST PATCHOGUE PODIATRY P.C.
NPI 1871775726
Podiatrist in East Patchogue, NY

NPI Status: Active since December 03, 2007

Contact Information

285 SILLS RD
BLDG 5-6 #H
EAST PATCHOGUE, NY
ZIP 11772
Phone: (631) 654-5566

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  • Organization
  • Podiatrist
  • CLIA Number: 33D2192303
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 03-26-2027

About EAST PATCHOGUE PODIATRY P.C.

This page provides the complete NPI Profile along with additional information for East Patchogue Podiatry P.c., a provider established in East Patchogue, New York operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1871775726 assigned on December 2007. The practitioner's primary taxonomy code is 213E00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Edward James Kormylo Dpm (Owner)

NPI
1871775726
Provider Name
EAST PATCHOGUE PODIATRY P.C.
Entity Type
Organization
Location Address
285 SILLS RD BLDG 5-6 #H EAST PATCHOGUE, NY 11772
Location Phone
(631) 654-5566
Mailing Address
285 SILLS RD BLDG 5-6 #H EAST PATCHOGUE, NY 11772
Mailing Phone
(631) 654-5566
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-03-2007
Last Update Date
02-27-2020
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A podiatrist like East Patchogue Podiatry P.c. provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Location Map

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

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. EDWARD JAMES KORMYLO DPM

Authorized Official Title
OWNER
Authorized Official Phone
(631) 654-5566

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00588743MEDICAID (05)NY 

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
33D2192303
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 09, 2020
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. MOHAMMED S. RAHMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to East Patchogue Podiatry P.c. 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 EAST PATCHOGUE PODIATRY P.C.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1871775726, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 7 → 14 → 5 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 1 + 4 + 7 + 1 + 0 + 7 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1871775726.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
285 SILLS RD, BLDG 16
EAST PATCHOGUE, NY 11772
Specialist
285 SILLS RD, BLDG 16
EAST PATCHOGUE, NY 11772
Radiology (Diagnostic Radiology)
285 SILLS RD, BUILDING 18
EAST PATCHOGUE, NY 11772
Obstetrics & Gynecology
285 SILLS RD, BUILDING 3 SUITE D
EAST PATCHOGUE, NY 11772
Internal Medicine (Pulmonary Disease)
285 SILLS RD, BUILDING 7, SUITE B
EAST PATCHOGUE, NY 11772
Internal Medicine (Pulmonary Disease)
285 SILLS RD, BUILDING 7, SUITE B
EAST PATCHOGUE, NY 11772
Optometrist
285 SILLS RD, SUITE 4C
EAST PATCHOGUE, NY 11772
Prosthetic/Orthotic Supplier
285 SILLS RD, BUILDING 3 SUITE D
EAST PATCHOGUE, NY 11772
Surgery
285 SILLS RD
EAST PATCHOGUE, NY 11772
Dietitian, Registered
285 SILLS RD, BLDG.15, SUITE D
EAST PATCHOGUE, NY 11772
Specialist
285 SILLS RD, BLDG.15, STE D
EAST PATCHOGUE, NY 11772
Physician Assistant (Surgical)
285 SILLS RD, BUILDING #18
EAST PATCHOGUE, NY 11772
Dentist (Pediatric Dentistry)
285 SILLS RD, SUITE 3B
EAST PATCHOGUE, NY 11772
Specialist
285 SILLS RD, BUILDING 18
EAST PATCHOGUE, NY 11772
Surgery
285 SILLS RD, BLDG 3 SUITE 2A
PATCHOGUE, NY 11772
Internal Medicine (Pulmonary Disease)
285 SILLS RD, BUILDING 7, SUITE B
EAST PATCHOGUE, NY 11772
Dentist
285 SILLS RD, BLDG 15 SUITE F
EAST PATCHOGUE, NY 11772
Surgery
285 SILLS RD, BUILDING 2 SUITE A
PATCHOGUE, NY 11772
Prosthetic/Orthotic Supplier
285 SILLS RD, SUITE 8C
PATCHOGUE, NY 11772
Dermatology
285 SILLS RD, BUILDING 5-6, SUITE A
EAST PATCHOGUE, NY 11772

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871775726, enumerated as an "organization" on December 03, 2007.

The provider is located at 285 SILLS RD BLDG 5-6 #H EAST PATCHOGUE, NY 11772 and the phone number is (631) 654-5566.

Podiatrist with taxonomy code 213E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.