Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Taras Vysotskyy

Individual provider Podiatrist · NPI 1962810036

Dr. Taras Vysotskyy is a Podiatry in Ronkonkoma, New York. Graduated from New York College of Podiatric Medicine in 2014, 12 years ago. Practices with Lewis J. Sims, DPM PC, a 7-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Trained at
New York College of Podiatric Medicine
Licensed in
NY
In the registry since
2014

Practice location Address checks out

45 Richmond Blvd Unit 2A
Ronkonkoma, NY 11779-3622
Phone: (516) 695-0112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 005677 (NY)

Record details

NPI number1962810036
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2014
Last updated in NPPESApril 17, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2014 (12 years in practice)
Group practice Lewis J. Sims, Dpm P.C. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ronkonkoma