PODIATRY SERVICES OF CENTRAL NEW YORK, PC
NPI 1891178729
Podiatrist - Foot & Ankle Surgery in Baldwinsville, NY

Active since July 09, 2015
15 EAST GENESEE STREET, SUITE 260, BALDWINSVILLE, NY 13027(315) 635-4619(315) 635-4689 Get Directions Write a Review

NPPES record last updated: July 9, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Podiatry Services Of Central New York, Pc NPPES

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

PODIATRY SERVICES OF CENTRAL NEW YORK, PC (NPI 1891178729) is a healthcare organization registered as a foot & ankle surgery in Baldwinsville, New York and active in the NPI registry since July 2015. The organization lists Freddie L Edelman, Owner, as its authorized official.

NPPES Registry Identity

NPI1891178729
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePODIATRY SERVICES OF CENTRAL NEW YORK, PC
Location Address15 EAST GENESEE STREET, SUITE 260Baldwinsville, NY 13027
Mailing Address514 S Bay RdNorth Syracuse, NY 13212-3627 · (315) 458-1777 · Fax (315) 458-9661
Fax(315) 635-4689
Organization SubpartNo
Authorized OfficialFreddie L EdelmanOwner · (315) 458-1777
Enumeration DateJuly 9, 2015
✔ NPI 1891178729 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 · N002777-1
15 EAST GENESEE STREET, Baldwinsville, NY 13027

Other Identifiers 1

Medicare PIN53631ANY

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 revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Podiatry Services Of Central New York, Pc 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.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20151007003392DME · Physician - PodiatryDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 Podiatry Services Of Central New York, PC's NPI number?

The NPI number for Podiatry Services Of Central New York, PC is 1891178729. It was assigned to this organization in the NPPES registry on July 9, 2015.

Where is Podiatry Services Of Central New York, PC located?

Podiatry Services Of Central New York, PC is located at 15 East Genesee Street Suite 260, Baldwinsville, NY 13027. The listed phone number is (315) 635-4619.

What is Podiatry Services Of Central New York, PC's specialty?

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

Is Podiatry Services Of Central New York, PC enrolled in Medicare?

Yes. Podiatry Services Of Central New York, PC is registered in the Medicare PECOS enrollment system.

When is Podiatry Services Of Central New York, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New York, Physician - Podiatry) 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.

When was this NPI record last updated?

The NPPES record for Podiatry Services Of Central New York, PC was last updated on July 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.