Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

POTOMAC PODIATRY PLLC
NPI 1184731549
Podiatrist - Foot & Ankle Surgery in Woodbridge, VA

Active since August 23, 2006
14010 SMOKETOWN RD STE 103, WOODBRIDGE, VA 22192(703) 583-5959(703) 583-5995 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 19, 2022, May 24, 2021 (2 updates tracked since 2021).

About Potomac Podiatry Pllc NPPES

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

POTOMAC PODIATRY PLLC (NPI 1184731549) is a healthcare organization registered as a foot & ankle surgery in Woodbridge, Virginia and active in the NPI registry since August 2006. The organization maintains 4 additional practice locations and lists Vincent Joseph Bonini, President, as its authorized official.

NPPES Registry Identity

NPI1184731549
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePOTOMAC PODIATRY PLLC
Location Address14010 SMOKETOWN RD STE 103Woodbridge, VA 22192-4723
Mailing Address14010 Smoketown Rd Ste 103Woodbridge, VA 22192-4723 · (703) 583-5959 · Fax (703) 583-5995
Fax(703) 583-5995
Organization SubpartNo
Authorized OfficialVincent Joseph BoniniPresident · (703) 583-5959
Enumeration DateAugust 23, 2006
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1184731549 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 VA · 0103000852
14010 SMOKETOWN RD STE 103, Woodbridge, VA 22192

Secondary Practice Locations 4

Location 146440 Benedict Dr Ste 209Sterling, VA 20164-6602 · Phone (703) 583-5959 · Fax (703) 583-5995
Location 243 Old Solomons Island Rd Ste 102Annapolis, MD 21401-3851 · Phone (410) 263-3100 · Fax (410) 263-7380
Location 31657 Crofton Blvd Ste 201Crofton, MD 21114-1348 · Phone (410) 721-4505 · Fax (410) 721-2394
Location 44475 Regency Pl Ste 204White Plains, MD 20695-3074 · Phone (301) 645-1406 · Fax (301) 645-0997

Other Identifiers 2

Medicaid3001524257VA
Medicaid8890421MD

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.

Podiatrist
14010 SMOKETOWN RD STE 103
WOODBRIDGE, VA 22192
Podiatrist (Foot & Ankle Surgery)
14010 SMOKETOWN RD STE 103
WOODBRIDGE, VA 22192
Podiatrist (Foot & Ankle Surgery)
14010 SMOKETOWN RD STE 103
WOODBRIDGE, VA 22192
Podiatrist (Foot & Ankle Surgery)
14010 SMOKETOWN RD STE 103
WOODBRIDGE, VA 22192

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 Potomac Podiatry PLLC's NPI number?

The NPI number for Potomac Podiatry PLLC is 1184731549. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Potomac Podiatry PLLC located?

Potomac Podiatry PLLC is located at 14010 Smoketown Rd Ste 103, Woodbridge, VA 22192. The listed phone number is (703) 583-5959.

What is Potomac Podiatry PLLC'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 Potomac Podiatry PLLC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.