Individual provider Active NPI

Mitul P Ajvalia, DPM

  • Foot & Ankle Surgery Podiatrist
  • Florham Park, NJ
National Provider Identifier
1851889026
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00364300 Issued in NJ
Practice address
171 Ridgedale Ave Ste F
Florham Park, NJ 07932-1764
Phone
(973) 320-3356
Fax
(973) 860-1161
NPI assigned
Apr 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00364300 NJ Primary

Addresses

Primary practice location

171 Ridgedale Ave Ste F
Florham Park, NJ 07932-1764

Mailing address

31 S Hall CT
Parsippany, NJ 07054-4369
Phone (973) 518-1450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220412001284 NJ Practitioner - Podiatry 9133515513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

171 Ridgedale Ave
Suite 1F
Florham Park, NJ 07932-1764
Phone (973) 518-1450

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Care Center LLC Foot & Ankle Surgery CurrentSince May 20, 2025 Accepting new patients
Podiatry Center of New Jersey, LLC Foot & Ankle Surgery CurrentSince May 4, 2022 Accepting new patients
Foot Care Clinic Inc CurrentSince May 11, 2025 Accepting new patients

Locations

171 Ridgedale Ave
Ste F
Florham Park, NJ 07932
Phone (973) 518-1450

171 Ridgedale Ave
Ste 1F
Florham Park, NJ 07932
Phone (973) 518-1450

510 Hamburg Tpke
Ste 108
Wayne, NJ 07470
Phone (718) 431-4979

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1851889026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S HALL CT",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070544369",
            "telephone_number": "973-518-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 RIDGEDALE AVE STE F",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321764",
            "telephone_number": "973-320-3356",
            "fax_number": "973-860-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJVALIA",
        "first_name": "MITUL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00364300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.