Coram Podiatry PLLC
NPI 1902520810 · Podiatrist · Coram, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Coram Podiatry PLLC is a Podiatrist organization in Coram, NY (NPI 1902520810).
Provider details
- NPI number
- 1902520810
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Tammy Campbell, Credentialing Manager(239) 257-7290
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-10-04
- Last updated
- 2022-10-04
- Certified
- 2022-10-04
Frequently asked questions
- What is Coram Podiatry PLLC's NPI number?
- Coram Podiatry PLLC's National Provider Identifier (NPI) is 1902520810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Coram Podiatry PLLC?
- Coram Podiatry PLLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Coram Podiatry PLLC located?
- Coram Podiatry PLLC's practice location on file with NPPES is 100 Middle Country Rd, Coram, NY 11727-4412.
- What is Coram Podiatry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Coram Podiatry PLLC is (631) 696-9636.
- Does Coram Podiatry PLLC accept Medicare?
- Coram Podiatry PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Coram Podiatry PLLC?
- The authorized official listed on Coram Podiatry PLLC's NPPES record is Tammy Campbell, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Coram Podiatry PLLC's NPI active?
- Yes — Coram Podiatry PLLC's NPI (1902520810) is active in the NPPES registry as of the last update on 2022-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.