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PREMIER PODIATRY, L.L.C.
NPI 1417524224
Podiatrist - Foot & Ankle Surgery in Wayne, NJ

Active since June 09, 2021
502 HAMBURG TPKE STE 105, WAYNE, NJ 07470(973) 384-4444(866) 756-0438 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premier Podiatry, L.l.c. NPPES

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

PREMIER PODIATRY, L.L.C. (NPI 1417524224) is a healthcare organization registered as a foot & ankle surgery in Wayne, New Jersey and active in the NPI registry since June 2021. The organization lists Velimir R Petkov, President/ Owner, as its authorized official.

NPPES Registry Identity

NPI1417524224
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePREMIER PODIATRY, L.L.C.
Location Address502 HAMBURG TPKE STE 105Wayne, NJ 07470-8446
Mailing Address925 Clifton Ave Ste 108Clifton, NJ 07013-2724 · (973) 315-5555 · Fax (866) 756-0438
Phone(973) 384-4444
Fax(866) 756-0438
Organization SubpartNo
Authorized OfficialVelimir R PetkovPresident/ Owner · (917) 667-4585
Enumeration DateJune 9, 2021
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1417524224 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
502 HAMBURG TPKE STE 105, Wayne, NJ 07470
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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

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 Premier Podiatry, L.L.C.'s NPI number?

The NPI number for Premier Podiatry, L.L.C. is 1417524224. It was assigned to this organization in the NPPES registry on June 9, 2021.

Where is Premier Podiatry, L.L.C. located?

Premier Podiatry, L.L.C. is located at 502 Hamburg Tpke Ste 105, Wayne, NJ 07470. The listed phone number is (973) 384-4444.

What is Premier Podiatry, L.L.C.'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 Premier Podiatry, L.L.C. was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.