Dpm0016Mllc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD00280800 Issued in NJ

Legal business name

DPM0016MLLC

Doing business as

bergenline foot & ankle center

Practice address

146 Hillcrest Rd
Watchung, NJ 07069-6053

Phone

(201) 662-1996

Fax

(210) 662-1977

NPI assigned

Feb 17, 2007

Last updated

May 27, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Boris Raginsky, DPMNPI 1457352502

Title

Owner

Phone

(201) 662-1996

Specialties & licenses 1

Addresses

Other names 1

• bergenline foot & ankle center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natalya Zigelman, DPM

  • Podiatrist
  • Watchung, NJ
  • NPI 1487609079
  Medicare reassignment NPD
• Boris Raginsky, DPM

  • Foot & Ankle Surgery Podiatrist
  • East Brunswick, NJ
  • NPI 1457352502
  NPD (past) Authorized official
• Anthony J Enrico, DPM

  • Foot & Ankle Surgery Podiatrist
  • Paterson, NJ
  • NPI 1013095975
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1437293958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 HILLCREST RD",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696053",
            "telephone_number": "201-662-1996",
            "fax_number": "210-662-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HILLCREST RD",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696053",
            "telephone_number": "201-662-1996",
            "fax_number": "210-662-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPM0016MLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "RAGINSKY",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-662-1996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00280800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bergenline foot & ankle center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darshna P Desai, RPH
• DJ Hearing Enterprises, LLC (Miracle Ear)
• Francis Donaruma, DC
• Lori F Donnelly
• Patricia Dooley, LPC
• Dr. Susheel Bathla
• Dream Sleep Wellness LLC
• Dreamland Anesthesia Limited Liability Co
• Edward S. Rachlin, MD, Facs, PA
• Richard R. Eisenberg, M.D.

• Foot & Ankle Surgery Podiatrist in Watchung, NJ
• Providers in Watchung, NJ by specialty
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.