Dpm0016mllc
Podiatrist, Foot & Ankle Surgery in Watchung, New Jersey
1437293958- Practice location
- 146 Hillcrest RD, Watchung, NJ 07069-6053
- Phone
- 201-662-1996
- Fax
- 210-662-1977
- Last updated
- May 27, 2025
Dpm0016mllc is a healthcare organization based in Watchung, NJ. Dpm0016mllc practices in Watchung, NJ. The NPI Number for Dpm0016mllc is 1437293958 and holds a License No. 25md00280800 (NJ). The current practice location address for Dpm0016mllc is 146 Hillcrest RD, Watchung, NJ 07069-6053 and can be reached out via phone at 201-662-1996 and via fax at 210-662-1977.
Provider Profile Details
- NPI Number
- 1437293958
- Provider Name
- Dpm0016mllc
- Provider Entity Type
- Organization
- Address
- 146 Hillcrest RD, Watchung, NJ 07069-6053
- Phone Number
- 201-662-1996
- Fax Number
- 210-662-1977
- Primary Taxonomy
- Podiatrist, Foot & Ankle Surgery · 213ES0103X
- Organization Subpart
- No
- Authorized Official
- Dr. Boris Raginsky, DPM · Owner · 201-662-1996
- Other Names
- Bergenline Foot & Ankle Center (Doing Business As)
- Provider Enumeration Date
- February 17, 2007
- Last Update Date
- May 27, 2025
- Certification Date
- May 27, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 146 Hillcrest RD
Watchung, NJ 07069-6053 - City
- Watchung
- State
- New Jersey
- Zip
- 07069-6053
- Phone Number
- 201-662-1996
- Fax Number
- 210-662-1977
Provider Business Mailing Address Details
- Address
- 146 Hillcrest RD
Watchung, NJ 07069-6053 - City
- Watchung
- State
- NJ
- Zip
- 07069-6053
- Phone Number
- 201-662-1996
- Fax Number
- 210-662-1977
License Information
- License Number
- 25md00280800
- 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 Watchung, NJ
View all Podiatrist, Foot & Ankle Surgery providers in Watchung →Frequently Asked Questions
What is the NPI number of Dpm0016mllc?
The NPI number of Dpm0016mllc is 1437293958. It was assigned on February 17, 2007 and is currently active in the NPPES registry.
What is the specialty of Dpm0016mllc?
Dpm0016mllc is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25md00280800.
Where does Dpm0016mllc practice?
The practice location is 146 Hillcrest RD, Watchung, NJ 07069-6053. The office can be reached at 201-662-1996 (phone) or 210-662-1977 (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 1437293958 directly on the NPPES registry website.