Nicholas Tiberia, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N003294-1 Issued in NY

Practice address

3085 Southwestern Blvd
Ste 203
Orchard Park, NY 14127-1233

Phone

(716) 674-0375

Fax

(716) 677-2965

NPI assigned

Oct 26, 2005

Last updated

Jun 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279
• Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Trinity Medical Wny PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1295043149
  Medicare reassignment Care Compare group NPD
• Nicholas Tiberia DPM

  • Durable Medical Equipment & Medical Supplies
  • West Seneca, NY
  • NPI 1932385457
  Authorized official Same address or phone
• Trinity Medical Wny PC

  • Vascular Surgery Physician
  • Buffalo, NY
  • NPI 1205468055
  NPD
• Trinity Medical Wny PC

  • Family Medicine Physician
  • Niagara Falls, NY
  • NPI 1508408998
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1164464921
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Cheektowaga, NY
  • NPI 1043455199
  Care Compare affiliation
• Sisters of Charity Hospital of Buffalo New York

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1790727543
  Care Compare affiliation

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1649260118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 CEDAR RIDGE DR",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242574",
            "telephone_number": "716-675-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 SOUTHWESTERN BLVD",
            "address_2": "STE 203",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271233",
            "telephone_number": "716-674-0375",
            "fax_number": "716-677-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBERIA",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N003294-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A. Thomas, D.O.
• Gregory Phillip Thompson, PT, MS, GCS
• Kelly A Thompson, LICENSED MENTAL HEAL
• Kelsey L Thompson, PT, DPT
• Owen Richard Thompson
• Marne Leeza-Marie Timon
• Richard Tippett
• Carolyn M Tomani, RPH
• Katie Tomaschko Tout, MS, RDN, CDN
• Lisa M Tomasik

• Podiatrist in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.

Verify at the official NPI Registry.