Active NPIIndividual provider

John Egdorf

Podiatrist, Foot & Ankle Surgery in Lyndhurst, New Jersey

NPI Number1013640648
Practice location
160 Ridge RD, Lyndhurst, NJ 07071-1275
Fax
—
Last updated
August 5, 2026

John Egdorf is a Podiatrist, Foot & Ankle Surgery based in Lyndhurst, NJ. John Egdorf practices in Lyndhurst, NJ. The NPI Number for John Egdorf is 1013640648 and holds a License No. 25MD00392900 (NJ). The current practice location address for John Egdorf is 160 Ridge RD, Lyndhurst, NJ 07071-1275 and can be reached out via phone at 201-939-9098.

Provider Profile Details

NPI Number
1013640648
Provider Name
John Egdorf
Provider Entity Type
Individual
Gender
Male
Address
160 Ridge RD, Lyndhurst, NJ 07071-1275
Phone Number
201-939-9098
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Other Names
John Egdorf, DPM (Professional Name)
Provider Enumeration Date
July 1, 2022
Last Update Date
August 5, 2026
Certification Date
August 5, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 Ridge RD
Lyndhurst, NJ 07071-1275
Zip
07071-1275
Phone Number
201-939-9098
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
160 Ridge RD
Lyndhurst, NJ 07071-1275
City
Lyndhurst
State
NJ
Zip
07071-1275
Phone Number
201-939-9098

License Information

License Number
25MD00392900
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Podiatrist, Foot & Ankle Surgery providers near Lyndhurst, NJ

View all Podiatrist, Foot & Ankle Surgery providers in Lyndhurst →

Frequently Asked Questions

What is the NPI number of John Egdorf?

The NPI number of John Egdorf is 1013640648. It was assigned on July 1, 2022 and is currently active in the NPPES registry.

What is the specialty of John Egdorf?

John Egdorf is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00392900.

Where does John Egdorf practice?

The practice location is 160 Ridge RD, Lyndhurst, NJ 07071-1275. The office can be reached at 201-939-9098 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013640648 directly on the NPPES registry website.

Browse related providers