SKYLINE PODIATRY
NPI 1346989712
Podiatrist - Foot & Ankle Surgery in Ringwood, NJ

Active since June 02, 2022
52 SKYLINE DR, RINGWOOD, NJ 07456(631) 804-8897 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Skyline Podiatry NPPES

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

SKYLINE PODIATRY (NPI 1346989712) is a healthcare organization registered as a foot & ankle surgery in Ringwood, New Jersey and active in the NPI registry since June 2022. The organization lists Justin Donovan, Podiatrist, as its authorized official.

NPPES Registry Identity

NPI1346989712
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSKYLINE PODIATRY
Location Address52 SKYLINE DRRingwood, NJ 07456-2020
Mailing Address52 Skyline DrRingwood, NJ 07456-2020 · (973) 962-7775 · Fax (973) 869-4144
Organization SubpartNo
Authorized OfficialJustin DonovanPodiatrist · (973) 962-7775
Enumeration DateJune 2, 2022
Last NPPES UpdateSeptember 29, 2022
NPPES CertifiedSeptember 29, 2022
✔ NPI 1346989712 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
52 SKYLINE DR, Ringwood, NJ 07456

Other Identifiers 1

Medicaid0658219NJ

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Skyline Podiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Skyline Podiatry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1831570159
2601 OCEAN PKWY
Brooklyn, NY 11235
(631) 804-8897
✔ PECOS✔ Accepts Medicare38 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Skyline Podiatry's NPI number?

The NPI number for Skyline Podiatry is 1346989712. It was assigned to this organization in the NPPES registry on June 2, 2022.

Where is Skyline Podiatry located?

Skyline Podiatry is located at 52 Skyline Dr, Ringwood, NJ 07456. The listed phone number is (631) 804-8897.

What is Skyline Podiatry's specialty?

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

Is Skyline Podiatry enrolled in Medicare?

Yes. Skyline Podiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Skyline Podiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Skyline Podiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Skyline Podiatry was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.