Active NPI
Podiatry on Wheels PC
- Podiatrist
- Saddle River, NJ
National Provider Identifier
1639055155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- PODIATRY ON WHEELS PC
- Practice address
- 1 Melody LN Uppr
Saddle River, NJ 07458-1857 - Phone
- (732) 429-0177
- NPI assigned
- Aug 12, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- June Park, MD
- Title
- Ceo
- Phone
- (732) 429-0177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
1 Melody LN Uppr
Saddle River, NJ 07458-1857
Mailing address
1 Melody LN Uppr
Saddle River, NJ 07458-1857
Phone (732) 429-0177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754956800000",
"number": "1639055155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MELODY LN UPPR",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074581857",
"telephone_number": "732-429-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MELODY LN UPPR",
"city": "SADDLE RIVER",
"state": "NJ",
"postal_code": "074581857",
"telephone_number": "732-429-0177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PODIATRY ON WHEELS PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-12",
"last_updated": "2025-08-12",
"certification_date": "2025-08-12",
"status": "A",
"authorized_official_last_name": "PARK",
"authorized_official_first_name": "JUNE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "732-429-0177",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saddle River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.