Podiatry Center of New Jersey, LLC

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

25MD00323100 Issued in NJ

Legal business name

PODIATRY CENTER OF NEW JERSEY, LLC

Practice address

510 Hamburg Tpke Ste 108
Wayne, NJ 07470

Phone

(718) 431-4979

NPI assigned

Apr 30, 2015

Last updated

Jun 7, 2018By 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. Russell Samofal, D.P.M.NPI 1982968517

Title

Podiatrist

Phone

(973) 925-4111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 28

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.

• Russell Samofal, D.P.M.

  • Podiatrist
  • Wayne, NJ
  • NPI 1982968517
  Medicare reassignment Care Compare group NPD Authorized official
• Engy Abdu, DPM

  • Podiatrist
  • Wayne, NJ
  • NPI 1730829284
  Medicare reassignment Care Compare group NPD
• Marie Cherline Atilus, DPM

  • Podiatrist
  • Wayne, NJ
  • NPI 1952042806
  Medicare reassignment Care Compare group NPD
• Christal D Charbonnet, DPM

  • Foot Surgery Podiatrist
  • Wayne, NJ
  • NPI 1780811471
  Medicare reassignment Care Compare group NPD
• Jin Oh Cho, DPM

  • Podiatrist
  • Wayne, NJ
  • NPI 1518575257
  Medicare reassignment Care Compare group NPD
• Dolan Kumar Chowdhury, DPM

  • Podiatrist
  • Wayne, NJ
  • NPI 1912262734
  Medicare reassignment Care Compare group NPD
• Sara El Bashir, DPM

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
  • NPI 1396189585
  Medicare reassignment Care Compare group NPD
• Eduardo Glass, DPM

  • Podiatrist
  • Wayne, NJ
  • NPI 1255907002
  Medicare reassignment Care Compare group NPD
• Jerisan Jeganathan, DPM

  • Podiatrist
  • Wayne, NJ
  • NPI 1376282319
  Medicare reassignment Care Compare group NPD
• Qiyun Jiang

  • Foot & Ankle Surgery Podiatrist
  • North Bergen, NJ
  • NPI 1811576895
  Medicare reassignment Care Compare group NPD
• Ashley Kim, DPM

  • Foot & Ankle Surgery Podiatrist
  • Wayne, NJ
  • NPI 1730618257
  Medicare reassignment Care Compare group NPD
• Joseph Alberico Pagnotta, DPM

  • Podiatrist
  • Wayne, NJ
  • NPI 1972245645
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1932586708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HAMBURG TPKE STE 108",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702033",
            "telephone_number": "718-431-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HAMBURG TPKE STE 108",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "07470",
            "telephone_number": "718-431-4979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "62 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Passaic",
            "state": "NJ",
            "postal_code": "070558412",
            "country_code": "US",
            "telephone_number": "973-925-4111",
            "fax_number": "973-925-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PODIATRY CENTER OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "SAMOFAL",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "973-925-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NJ",
            "license": "25MD00323100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mignolia Placencia
• Plains Pharmacy of Wayne TWP Inc (Plains Pharmacy)
• Joseph John Plesnarski, RPH
• Aaron Scott Ploshnick, PT, DPT
• Patricia PO, APN
• Ann Pogolowitz, LCSW
• Point View Care and Rehab Center LLC (Berkshire Post Acute Care at Wayne)
• Point View Radiology Associates, P.C.
• Shoshannah Pollack, MD
• Stephania Polo, LPC

• Podiatric Clinic/Center in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Podiatric Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.