South Carriage

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

006888 Issued in NY

Legal business name

SOUTH CARRIAGE

Practice address

512 Beach Dr
Medina, NY 14103-1004

Phone

(585) 331-6752

Fax

(585) 331-6752

NPI assigned

Oct 10, 2017

Last updated

Oct 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Moriarty, DPMNPI 1821476201

Title

Physician

Phone

(585) 331-6752

Specialties & licenses 1

Addresses

Practitioners 1

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.

• John Moriarty

  • Foot & Ankle Surgery Podiatrist
  • Medina, NY
  • NPI 1821476201
  NPD (past) Authorized official

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1467962977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70243",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103070243",
            "telephone_number": "585-331-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 BEACH DR",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141031004",
            "telephone_number": "585-331-6752",
            "fax_number": "585-331-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CARRIAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "MORIARTY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "585-331-6752",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Select Rehabilitation
• Yvette Renae Seniuk, REGISTERED NURSE
• Rolando Guiao Sicat Jr., PT
• James Sickler, O.D.
• Michelle Renee Smith, FNP
• Dale W Sponaugle, MD
• Kelly Squire
• Marcia Deters Stahl, RPH
• Kimberly Haviland Stephens, RN
• Surinder S. Bath, M.D.P.C.

• Foot & Ankle Surgery Podiatrist in Medina, NY
• Providers in Medina, NY by specialty
• Foot & Ankle Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.