EAST PATCHOGUE PODIATRY P.C.
NPI 1871775726
Podiatrist in East Patchogue, NY
About East Patchogue Podiatry P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST PATCHOGUE PODIATRY P.C. (NPI 1871775726) is a healthcare organization registered as a podiatrist in East Patchogue, New York and active in the NPI registry since December 2007. The organization lists Edward James Kormylo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Patchogue Podiatry P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
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.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to East Patchogue Podiatry P.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
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 East Patchogue Podiatry P.C.'s NPI number?
The NPI number for East Patchogue Podiatry P.C. is 1871775726. It was assigned to this organization in the NPPES registry on December 3, 2007.
Where is East Patchogue Podiatry P.C. located?
East Patchogue Podiatry P.C. is located at 285 Sills Rd Bldg 5-6 #h, East Patchogue, NY 11772. The listed phone number is (631) 654-5566.
What is East Patchogue Podiatry P.C.'s specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is East Patchogue Podiatry P.C. enrolled in Medicare?
Yes. East Patchogue Podiatry P.C. is registered in the Medicare PECOS enrollment system.
When is East Patchogue Podiatry P.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. 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.
How many clinicians bill Medicare through East Patchogue Podiatry P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Podiatry, reassign their Medicare billing to East Patchogue Podiatry P.C.. 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. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for East Patchogue Podiatry P.C. was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# East Patchogue Podiatry P.c. · NPI 1871775726
Podiatrist organization in East Patchogue, New York. Organization record, active in the CMS NPPES registry since December 3, 2007.
## Identity
- **NPI:** 1871775726 (Entity type: Organization)
- **Enumerated:** December 3, 2007
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Edward Kormylo, OWNER
## Practice location
- **Address:** 285 SILLS RD, BLDG 5-6 #H, East Patchogue, NY 11772-4869
- **Phone:** (631) 654-5566
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 27, 2020
- **Other identifiers:** Medicaid 00588743 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1871775726) · Data from the CMS NPPES public registry.