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ACTIVE PODIATRY LLC
NPI 1093217622
Podiatrist - Foot & Ankle Surgery in Wayne, NJ

Active since February 28, 2018
2035 HAMBURG TPKE STE B, WAYNE, NJ 07470(201) 614-3668(973) 256-4757 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Jul 11, 2025, Jun 16, 2018 and 1 more (4 updates tracked since 2018).

About Active Podiatry Llc NPPES

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

ACTIVE PODIATRY LLC (NPI 1093217622) is a healthcare organization registered as a foot & ankle surgery in Wayne, New Jersey and active in the NPI registry since February 2018. The organization lists Homam Badri, Dpm, as its authorized official.

NPPES Registry Identity

NPI1093217622
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameACTIVE PODIATRY LLC
Location Address2035 HAMBURG TPKE STE BWayne, NJ 07470-6251
Mailing Address2035 Hamburg Tpke Ste BWayne, NJ 07470-6251 · (201) 614-3668 · Fax (973) 256-4757
Phone(201) 614-3668
Fax(973) 256-4757
Organization SubpartNo
Authorized OfficialHomam BadriDpm · (201) 614-3668
Enumeration DateFebruary 28, 2018
Last NPPES UpdateSeptember 2, 20254 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1093217622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in NJ · 25MD0032100
2035 HAMBURG TPKE STE B, Wayne, NJ 07470
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Other Names 1

Doing Business AsActive Podiatry Llc

Other Identifiers 1

Medicaid0429732NJ

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 4

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

HOMAM BADRI D.P.M
Podiatrist (Foot & Ankle Surgery)
2035 HAMBURG TPKE STE B
WAYNE, NJ 07470
Passaic County (201) 614-3668
TOTAL ANKLE & FOOT INSTITUTE LLC
Orthopaedic Surgery (Foot and Ankle Surgery)
2035 HAMBURG TPKE STE B
WAYNE, NJ 07470
Passaic County (201) 614-3668
ALIVEDRIP MEDICAL LLC
Clinic/Center (Infusion Therapy)
2035 HAMBURG TPKE STE B
WAYNE, NJ 07470
Passaic County (201) 614-3668
MRS. TAHMINA MOJUMDER
Nurse Practitioner (Gerontology)
2035 HAMBURG TPKE STE B
WAYNE, NJ 07470
Passaic County (862) 347-4058

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 Active Podiatry LLC's NPI number?

The NPI number for Active Podiatry LLC is 1093217622. It was assigned to this organization in the NPPES registry on February 28, 2018.

Where is Active Podiatry LLC located?

Active Podiatry LLC is located at 2035 Hamburg Tpke Ste B, Wayne, NJ 07470. The listed phone number is (201) 614-3668.

What is Active Podiatry LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Active Podiatry LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.