Active Podiatry LLC
Podiatrist, Foot & Ankle Surgery in Wayne, New Jersey
1093217622- Practice location
- 2035 Hamburg Tpke Ste B, Wayne, NJ 07470-6251
- Phone
- 201-614-3668
- Fax
- 973-256-4757
- Last updated
- September 2, 2025
Active Podiatry LLC is a healthcare organization based in Wayne, NJ. Active Podiatry LLC practices in Wayne, NJ. The NPI Number for Active Podiatry LLC is 1093217622 and holds a License No. 25MD0032100 (NJ). The current practice location address for Active Podiatry LLC is 2035 Hamburg Tpke Ste B, Wayne, NJ 07470-6251 and can be reached out via phone at 201-614-3668 and via fax at 973-256-4757.
Provider Profile Details
- NPI Number
- 1093217622
- Provider Name
- Active Podiatry LLC
- Provider Entity Type
- Organization
- Address
- 2035 Hamburg Tpke Ste B, Wayne, NJ 07470-6251
- Phone Number
- 201-614-3668
- Fax Number
- 973-256-4757
- Primary Taxonomy
- Podiatrist, Foot & Ankle Surgery · 213ES0103X
- Organization Subpart
- No
- Authorized Official
- Homam Badri, DPM · DPM · 201-614-3668
- Other Names
- Active Podiatry LLC (Doing Business As)
- Provider Enumeration Date
- February 28, 2018
- Last Update Date
- September 2, 2025
- Certification Date
- July 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2035 Hamburg Tpke Ste B
Wayne, NJ 07470-6251 - City
- Wayne
- State
- New Jersey
- Zip
- 07470-6251
- Phone Number
- 201-614-3668
- Fax Number
- 973-256-4757
Provider Business Mailing Address Details
- Address
- 2035 Hamburg Tpke Ste B
Wayne, NJ 07470-6251 - City
- Wayne
- State
- NJ
- Zip
- 07470-6251
- Phone Number
- 201-614-3668
- Fax Number
- 973-256-4757
License Information
- License Number
- 25MD0032100
- License State
- NJ
- Taxonomy
- Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Podiatrist, Foot & Ankle Surgery providers near Wayne, NJ
View all Podiatrist, Foot & Ankle Surgery providers in Wayne →- Dr Affan AkhtarPodiatrist, Foot & Ankle Surgery · NPI 1386042877
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- Dr. Amanda Gallagher, DPMPodiatrist, Foot & Ankle Surgery · NPI 1255078713
- Dr. Ashley Kim, DPMPodiatrist, Foot & Ankle Surgery · NPI 1730618257
- Dr. Bruce D Calligaro, DPMPodiatrist, Foot & Ankle Surgery · NPI 1154361079
- Dr. Jaclyn J Ramirez, DPMPodiatrist, Foot & Ankle Surgery · NPI 1952446163
Frequently Asked Questions
What is the NPI number of Active Podiatry LLC?
The NPI number of Active Podiatry LLC is 1093217622. It was assigned on February 28, 2018 and is currently active in the NPPES registry.
What is the specialty of Active Podiatry LLC?
Active Podiatry LLC is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD0032100.
Where does Active Podiatry LLC practice?
The practice location is 2035 Hamburg Tpke Ste B, Wayne, NJ 07470-6251. The office can be reached at 201-614-3668 (phone) or 973-256-4757 (fax).
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 1093217622 directly on the NPPES registry website.