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

Edward J Kormylo, DPM

Individual provider Foot Surgery Podiatrist · NPI 1568436392

Edward J Kormylo, DPM is a Podiatry in Patchogue, New York. Graduated from New York College of Podiatric Medicine in 1980, 46 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
46
Trained at
New York College of Podiatric Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

33 Medford Ave Ste D
Patchogue, NY 11772-1222
Phone: (631) 687-4190
Fax: (631) 687-4199
Show map & directions

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

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence N003100 (NY)

Record details

NPI number1568436392
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedFebruary 16, 2006
Last updated in NPPESOctober 28, 2022
Certification dateOctober 28, 2022

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 1980 (46 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Patchogue