Organization Active NPI

Podiatric and Surgical Wellcare of New York PC

  • Primary Podiatric Medicine Podiatrist
  • East Islip, NY
National Provider Identifier
1033245832
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N006025 Issued in NY
Legal business name
PODIATRIC AND SURGICAL WELLCARE OF NEW YORK PC
Practice address
8 Laurel Ave
East Islip, NY 11730-2131
Phone
(631) 647-4653
Fax
(631) 446-4122
NPI assigned
Feb 26, 2007
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Paul Tardi, DPMNPI 1336240886
Title
Owner
Phone
(631) 647-4653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N006025 NY Primary

Addresses

Primary practice location

8 Laurel Ave
East Islip, NY 11730-2131

Mailing address

PO Box 719
Great River, NY 11739-0719
Phone (631) 647-4653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070417000362 NY Part B Supplier - Clinic/Group Practice 5294830485 Receives reassigned benefits from 1 practitioner
Practice locations: Oswego, NY; East Islip, NY
O20201203002737 SC Part B Supplier - Clinic/Group Practice 5294830485 Receives reassigned benefits from 1 practitioner
Practice locations: Mt Pleasant, SC; Walterboro, SC; Santee, SC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1033245832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117390719",
            "telephone_number": "631-647-4653",
            "fax_number": "631-446-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 LAUREL AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302131",
            "telephone_number": "631-647-4653",
            "fax_number": "631-446-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC AND SURGICAL WELLCARE OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "TARDI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-647-4653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N006025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.