DR. NICHOLAS TIBERIA (NPI# 1649260118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649260118 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS TIBERIA |
| Credential | D.P.M. |
| Practice Address |
3085 Southwestern Blvd Ste 203 Orchard Park NY 14127-1233 |
| Mailing Address |
69 Cedar Ridge Dr West Seneca NY 14224-2574 |
| Practice Telephone | 7166740375 |
| Practice Fax Number | 7166772965 |
| Mailing Telephone | 7166754417 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2017-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N003294-1 | NY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
3085 SOUTHWESTERN BLVD STE 203 |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457886269 | Erik Waltz | Physician Assistant | 3085 Southwestern Blvd, Suite 204, Orchard Park, NY 14127-1232 | 2017-04-30 |
| 1386183994 | Keith Brandon Haseley | Physician Assistant | 3085 Southwestern Blvd, Suite 204, Orchard Park, NY 14127-1232 | 2017-02-15 |
| 1750765772 | Mark Turoldo | Physician Assistant | 3085 Southwestern Blvd, Suite 204, Orchard Park, NY 14127-1232 | 2015-07-20 |
| 1285989855 | Victoria Christina Henry | Physician Assistant | 3085 Southwestern Blvd, Orchard Park, NY 14127-1232 | 2012-07-19 |
| 1588921126 | John James Mcnamara | Emergency Medicine | 3085 Southwestern Blvd, Suite 204, Orchard Park, NY 14127-1232 | 2012-04-20 |
| 1295996908 | Joshua Jeremiah Lynch | Emergency Medicine | 3085 Southwestern Blvd, Suite 204, Orchard Park, NY 14127-1232 | 2008-06-24 |
| 1487762258 | Etta L Storm | Nurse Practitioner | 3085 Southwestern Blvd, Suite 104, Orchard Park, NY 14127-1233 | 2006-08-29 |
| 1184692501 | Susan J Ribes | Podiatrist | 3085 Southwestern Blvd, Ste 102, Orchard Park, NY 14127 | 2006-03-10 |
| 1285609875 | Donald F Storm | Pediatrics | 3085 Southwestern Blvd, Ste 104, Orchard Park, NY 14127-1233 | 2006-02-17 |
| 1083695597 | Michael H Harrison | Psychologist | 3085 Southwestern Blvd, Ste 107, Orchard Park, NY 14127-1234 | 2005-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225297773 | Devincentis,dpm-devincentis,dpm | Podiatrist | 4200 N Buffalo Rd, Orchard Park, NY 14127-2415 | 2008-06-09 |
| 1235224239 | Steven Bruce Gutsin | Podiatrist | 41 Bender Dr, Orchard Park, NY 14127-2330 | 2006-10-04 |
| 1851315634 | Joseph Anthony De Vincentis | Podiatrist | 3065 Southwestern Blvd Ste 200, Orchard Park, NY 14127 | 2006-07-26 |
| 1326482670 | Steven Gutsin Dpm PC | Podiatrist | 41 Bender Dr, Orchard Park, NY 14127-2330 | 2013-04-17 |
| 1740452556 | Steven B Gutsin | Podiatrist | 41 Bender Dr, Orchard Park, NY 14127-2330 | 2008-04-01 |
| 1215128780 | Orchard Park Podiatry Pllc | Podiatrist | 3671 Southwestern Blvd, Suite 213, Orchard Park, NY 14127-1752 | 2007-08-08 |
| 1184692501 | Susan J Ribes | Podiatrist | 3085 Southwestern Blvd, Ste 102, Orchard Park, NY 14127 | 2006-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
| 1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
| 1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
| 1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
| Find all providers with the same taxonomy | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.