Active NPIOrganization

Premier Podiatry, L.l.c.

Podiatrist, Foot & Ankle Surgery in Wayne, New Jersey

NPI Number1417524224
Practice location
502 Hamburg Tpke Ste 105, Wayne, NJ 07470-8446
Fax
866-756-0438
Last updated
January 29, 2025

Premier Podiatry, L.l.c. is a healthcare organization based in Wayne, NJ. Premier Podiatry, L.l.c. practices in Wayne, NJ. The NPI Number for Premier Podiatry, L.l.c. is 1417524224. The current practice location address for Premier Podiatry, L.l.c. is 502 Hamburg Tpke Ste 105, Wayne, NJ 07470-8446 and can be reached out via phone at 973-384-4444 and via fax at 866-756-0438.

Provider Profile Details

NPI Number
1417524224
Provider Name
Premier Podiatry, L.l.c.
Provider Entity Type
Organization
Address
502 Hamburg Tpke Ste 105, Wayne, NJ 07470-8446
Phone Number
973-384-4444
Fax Number
866-756-0438
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Organization Subpart
No
Authorized Official
Dr. Velimir R Petkov, DPM · President/ Owner · 917-667-4585
Provider Enumeration Date
June 9, 2021
Last Update Date
January 29, 2025
Certification Date
January 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
502 Hamburg Tpke Ste 105
Wayne, NJ 07470-8446
City
Wayne
Zip
07470-8446
Phone Number
973-384-4444
Fax Number
866-756-0438
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
925 Clifton Ave Ste 108
Clifton, NJ 07013-2724
City
Clifton
State
NJ
Zip
07013-2724
Phone Number
973-315-5555
Fax Number
866-756-0438

License Information

Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Premier Podiatry, L.l.c.?

The NPI number of Premier Podiatry, L.l.c. is 1417524224. It was assigned on June 9, 2021 and is currently active in the NPPES registry.

What is the specialty of Premier Podiatry, L.l.c.?

Premier Podiatry, L.l.c. is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X).

Where does Premier Podiatry, L.l.c. practice?

The practice location is 502 Hamburg Tpke Ste 105, Wayne, NJ 07470-8446. The office can be reached at 973-384-4444 (phone) or 866-756-0438 (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 1417524224 directly on the NPPES registry website.

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