1. Home
  2. Directory
  3. New Jersey
  4. Roselle
  5. Podiatrist
  6. NPI Profile

ROSELLE PODIATRY GROUP, PA
NPI 1003139031
Podiatrist - Foot Surgery in Roselle, NJ

Active since March 04, 2010
776 E 3RD AVE, ROSELLE, NJ 07203(908) 620-3200(908) 620-1040 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roselle Podiatry Group, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSELLE PODIATRY GROUP, PA (NPI 1003139031) is a healthcare organization registered as a foot surgery in Roselle, New Jersey and active in the NPI registry since March 2010. The organization lists Yeon Shim, President, as its authorized official.

NPPES Registry Identity

NPI1003139031
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameROSELLE PODIATRY GROUP, PA
Location Address776 E 3RD AVERoselle, NJ 07203-1698
Mailing Address776 E 3rd AveRoselle, NJ 07203-1698 · (908) 620-3200 · Fax (908) 620-1040
Phone(908) 620-3200
Fax(908) 620-1040
Organization SubpartNo
Authorized OfficialYeon ShimPresident · (908) 620-3200
Enumeration DateMarch 4, 2010
Last NPPES UpdateOctober 16, 2014
✔ NPI 1003139031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in NJ · MD002426
776 E 3RD AVE, Roselle, NJ 07203
Open in Google Maps ↗

Other Identifiers 3

Medicare NSC4702770001
Medicare OSCAR/certification006323NJ
Other4702770001NJ · Medicare Dme

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YAMIRY MARRERO
Internal Medicine (Cardiovascular Disease)
776 E 3RD AVE
ROSELLE, NJ 07203
Union County (908) 241-5545
DR. KAPIL KUNDRA D.M.D
Dentist (General Practice)
776 E 3RD AVE, URBAN SMILES DENTAL PA , SUITE -LL2
ROSELLE, NJ 07203
Union County (908) 245-1600
DR. PHILLIP DAVISON M.D.
Urology
776 E 3RD AVE
ROSELLE, NJ 07203
Union County (908) 241-7800
PAWAN GUNDAVARAM
Internal Medicine (Hematology & Oncology)
776 E 3RD AVE
ROSELLE, NJ 07203
Union County (908) 259-8817
MS. MARIA JOANNA ALARCON APN
Nurse Practitioner (Primary Care)
776 E 3RD AVE
ROSELLE, NJ 07203
Union County (908) 241-5534
UROLOGICAL GROUP OF UNION COUNTY PA
Urology
776 E 3RD AVE
ROSELLE, NJ 07203
Union County (908) 241-7800
PETER LENCHUR MD PHD
Internal Medicine (Cardiovascular Disease)
776 E 3RD AVE
ROSELLE, NJ 07203
Union County (908) 241-5545
ELLIOTH FISHKIN MD LLC
Internal Medicine (Hematology & Oncology)
776 E 3RD AVE
ROSELLE, NJ 07203
Union County (908) 259-8817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roselle Podiatry Group, PA's NPI number?

The NPI number for Roselle Podiatry Group, PA is 1003139031. It was assigned to this organization in the NPPES registry on March 4, 2010.

Where is Roselle Podiatry Group, PA located?

Roselle Podiatry Group, PA is located at 776 E 3rd Ave, Roselle, NJ 07203. The listed phone number is (908) 620-3200.

What is Roselle Podiatry Group, PA's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

When was this NPI record last updated?

The NPPES record for Roselle Podiatry Group, PA was last updated on October 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.