Individual provider Active NPI

James Paul Tardi, DPM

  • Podiatrist
  • East Islip, NY
National Provider Identifier
1336240886
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N006025 Issued in NY
Practice address
8 Laurel Ave
East Islip, NY 11730-2131
Phone
(631) 647-4653
Fax
(631) 446-4122
NPI assigned
Sep 26, 2006
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 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

Other identifiers 1

IdentifierTypeStateIssuer
PL8481OtherNYBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041102000848 NY Practitioner - Podiatry 1052373909 Reassigns benefits to 1 organization
I20201203002783 SC Practitioner - Podiatry 1052373909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2753 Merwether LN
Mt Pleasant, SC 29466-7942
Phone (516) 729-9238

295 Woodhollow Rd
Great River, NY 11739-3003

303 E River Rd
Oswego, NY 13126-6400
Phone (516) 729-9238

8 Laurel Ave
East Islip, NY 11730-2131
Phone (631) 647-4653

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue3496
Removal or shaving of skin growth1443

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006025NYMDPodiatrist
710SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatric and Surgical Wellcare of New York PC CurrentSince Mar 3, 2006 Accepting new patients
West Islip Foot Care Center Past Accepting new patients
West Islip Foot Care PC PastSince May 22, 2007 Accepting new patients

Locations

8 Laurel Ave
East Islip, NY 11730
Phone (631) 224-4442

303 E River Rd
Oswego, NY 13126
Phone (315) 343-1800

1249 Montauk Hwy
West Islip, NY 11795
Phone (631) 647-4653

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1336240886",
    "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": {
        "last_name": "TARDI",
        "first_name": "JAMES",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N006025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PL8481",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

Verify at the official NPI Registry.