Coram Podiatry PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

CORAM PODIATRY PLLC

Practice address

100 Middle Country Rd
Coram, NY 11727-4412

Phone

(631) 696-9636

NPI assigned

Oct 4, 2022

Last updated

Oct 4, 2022By 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

Tammy CampbellNPI 1548071376

Title

Credentialing Manager

Phone

(239) 257-7290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

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.

• Bill W Dalosis, DPM

  • Foot Surgery Podiatrist
  • Lake Grove, NY
  • NPI 1497771604
  Medicare reassignment NPD
• Pedram Hendizadeh, D.P.M., F.A.C.F.A.S.

  • Foot Surgery Podiatrist
  • Manhasset, NY
  • NPI 1780786517
  Medicare reassignment NPD
• Daniel E Stern, D.P.M.

  • Podiatrist
  • Coram, NY
  • NPI 1639170889
  Medicare reassignment NPD
• Tammy Campbell

  • Behavior Technician
  • Nashua, NH
  • NPI 1548071376
  Authorized official Same address or phone

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1902520810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MIDDLE COUNTRY RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274412",
            "telephone_number": "631-696-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MIDDLE COUNTRY RD",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117274412",
            "telephone_number": "631-696-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "239-257-7290"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Cona
• Marilyn F Conner, CANP
• Coram Drugs Inc. (yore-x drugs and surgicals)
• Coram Fire District
• Coram Hills Eyecare Optometry & Opthalmic Dispensing PLLC
• Coram RX LTD (Prescription Centre)
• Alicia Cordner, MA, CCC-SLP
• Karen Cordoves, R.N.
• Caresse Rose Correa, DNP, CRNA
• Desirania Cortes

• Podiatrist in Coram, NY
• Providers in Coram, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.