East Patchogue Podiatry P.C.

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

EAST PATCHOGUE PODIATRY P.C.

Practice address

283 Commack Rd Ste 125
Commack, NY 11725-3447

Phone

(631) 499-3505

NPI assigned

Oct 25, 2018

Organization subpart

Yes

Parent organization

EAST PATCHOGUE PODIATRY P.C.As reported in NPPES

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

Authorized official

Name

Edward J Kormylo, DPM

Title

Podiatrist/Owner

Phone

(631) 654-5566

Specialties & licenses 1

Addresses

Part of

East Patchogue Podiatry PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• East Patchogue Podiatry P.C.

  • Podiatrist
  • East Patchogue, NY
  • NPI 1871775726
  NPPES parent name

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1659848802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 SILLS RD BLDG 17",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724808",
            "telephone_number": "631-654-5566",
            "fax_number": "631-654-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD STE 125",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253447",
            "telephone_number": "631-499-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PATCHOGUE PODIATRY P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST PATCHOGUE PODIATRY P.C.",
        "enumeration_date": "2018-10-25",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "KORMYLO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "631-654-5566",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Dunn-Maloney, RD CDN
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• Shija Elsan Eapen
• Jayne Patrice Eaton-Bove, MS
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• Robert Christopher Edwards, LMSW
• Jennifer Ann Egan, M.A.
• Jennifer Ehlers, DO

• Podiatric Clinic/Center in Commack, NY
• Providers in Commack, NY by specialty
• Podiatric Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.