Active NPI
Tymoteusz Jakub Siwy, DPM
- Podiatrist
- Narberth, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC007091
- Practice address
- 104 1/2 Forrest Ave Ste 1
Narberth, PA 19072-2220 - Phone
- (610) 664-1070
- Fax
- (610) 664-6853
- NPI assigned
- Jun 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC007091 | PA | |
| Podiatrist | 213E00000X | SC007091 | PA | Primary |
Addresses
Primary practice location
104 1/2 Forrest Ave Ste 1
Narberth, PA 19072-2220
Mailing address
104 1/2 Forrest Ave Ste 1
Narberth, PA 19072-2220
Phone (610) 664-1070
Other practice location 1
1400 Old Jordan Rd
Southampton, PA 18966-4813
Phone (610) 664-1070
Other practice location 2
2004 Shipley Rd
Wilmington, DE 19803-5248
Phone (610) 664-1070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SC007091 | Other | PA | PA BOARD OF PODIATRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
104 /2 Forrest Ave
Suite 1
Narberth, PA 19072-2220
Phone (610) 664-1070
2004 Shipley Rd
Wilmington, DE 19803-5248
Phone (610) 664-1070
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 2981 |
| Removal or shaving of skin growth | 1503 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC007091 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Siwy Podiatry Associates PLLC | Podiatrist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lankenau Hospital
- General Acute Care Hospital
- Wynnewood, PA
- NPI 1245335629
-
dba Bryn Mawr Hospital
- General Acute Care Hospital
- Bryn Mawr, PA
- NPI 1508971441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1316564107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 1/2 FORREST AVE STE 1",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190722220",
"telephone_number": "610-664-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 1/2 FORREST AVE STE 1",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190722220",
"telephone_number": "610-664-1070",
"fax_number": "610-664-6853"
}
],
"practiceLocations": [
{
"address_1": "1400 Old Jordan Rd",
"address_purpose": "LOCATION",
"city": "Southampton",
"state": "PA",
"postal_code": "189664813",
"country_code": "US",
"telephone_number": "610-664-1070",
"fax_number": "610-664-6853",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2004 Shipley Rd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198035248",
"country_code": "US",
"telephone_number": "610-664-1070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIWY",
"first_name": "TYMOTEUSZ",
"middle_name": "JAKUB",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-29",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC007091",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC007091",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BOARD OF PODIATRY",
"identifier": "SC007091",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Narberth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.