Organization Active NPI

John a Tallia

  • Foot Surgery Podiatrist
  • Stony Point, NY
National Provider Identifier
1316110133
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
NY003835-1 Issued in NY
Legal business name
JOHN A TALLIA
Practice address
109 W Main St
Stony Point, NY 10980-1818
Phone
(845) 786-3804
Fax
(845) 786-3804
NPI assigned
Apr 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Dr. John A Tallia, DPMNPI 1649270646
Title
Owner
Phone
(845) 513-5333

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
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X NY003835-1 NY Primary

Addresses

Primary practice location

109 W Main St
Stony Point, NY 10980-1818

Mailing address

109 W Main St
Stony Point, NY 10980-1818
Phone (845) 786-3804

National Provider Directory

National Provider Directory

Locations

109 W Main St
Stony Point, NY 10980
Phone (845) 513-5333

7 Route 303
Tappan, NY 10983
Phone (845) 359-9366

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1316110133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109801818",
            "telephone_number": "845-786-3804",
            "fax_number": "845-786-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W MAIN ST",
            "city": "STONY POINT",
            "state": "NY",
            "postal_code": "109801818",
            "telephone_number": "845-786-3804",
            "fax_number": "845-786-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A TALLIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-13",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "TALLIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-513-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "NY003835-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.