Individual provider Active NPI

Phillip C Culliton, DPM

  • Podiatrist
  • East Amherst, NY
National Provider Identifier
1629018734
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N003003 Issued in NY
Practice address
8265 Manchester Park Dr
East Amherst, NY 14051-1592
Phone
(716) 812-6231
Fax
(716) 741-4914
NPI assigned
Jun 7, 2006
Last updated
Aug 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 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 N003003 NY Primary

Addresses

Primary practice location

8265 Manchester Park Dr
East Amherst, NY 14051-1592

Mailing address

8265 Manchester Park Dr
East Amherst, NY 14051-1592
Phone (716) 812-6231

Other identifiers 1

IdentifierTypeStateIssuer
00687590MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090115000140 NY Practitioner - Podiatry 2769545896 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003003NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip C Culliton DPM, PC Podiatrist CurrentSince Mar 5, 2009 Accepting new patients

Locations

2700 Sheridan Dr
Tonawanda, NY 14150
Phone (716) 835-2617

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, 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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1629018734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8265 MANCHESTER PARK DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511592",
            "telephone_number": "716-812-6231",
            "fax_number": "716-741-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8265 MANCHESTER PARK DR",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140511592",
            "telephone_number": "716-812-6231",
            "fax_number": "716-741-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLITON",
        "first_name": "PHILLIP",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00687590",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Amherst, NY

Sources for this page

Verify at the official NPI Registry.