DPM0016MLLC
NPI 1437293958
Podiatrist - Foot & Ankle Surgery in Watchung, NJ

Active since February 17, 2007
146 HILLCREST RD, WATCHUNG, NJ 07069(201) 662-1996(210) 662-1977 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dpm0016mllc NPPES

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

DPM0016MLLC (NPI 1437293958), doing business as Bergenline Foot & Ankle Center, is a healthcare organization registered as a foot & ankle surgery in Watchung, New Jersey and active in the NPI registry since February 2007. The organization lists Boris Raginsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1437293958
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameDPM0016MLLC
Location Address146 HILLCREST RDWatchung, NJ 07069-6053
Mailing Address146 Hillcrest RdWatchung, NJ 07069-6053 · (201) 662-1996 · Fax (210) 662-1977
Fax(210) 662-1977
Organization SubpartNo
Authorized OfficialBoris RaginskyOwner · (201) 662-1996
Enumeration DateFebruary 17, 2007
Last NPPES UpdateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1437293958 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 · 25MD00280800
146 HILLCREST RD, Watchung, NJ 07069

Other Names 1

Doing Business AsBergenline Foot & Ankle Center

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)

Dpm0016mllc 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 Dpm0016mllc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1487609079
146 HILLCREST RD
Watchung, NJ 07069
(201) 662-1996
✔ PECOS✔ Accepts MedicareSame address

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 Dpm0016mllc's NPI number?

The NPI number for Dpm0016mllc is 1437293958. It was assigned to this organization in the NPPES registry on February 17, 2007. The provider is doing business as bergenline foot & ankle center.

Where is Dpm0016mllc located?

Dpm0016mllc is located at 146 Hillcrest Rd, Watchung, NJ 07069. The listed phone number is (201) 662-1996.

What is Dpm0016mllc's specialty?

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

Is Dpm0016mllc enrolled in Medicare?

Yes. Dpm0016mllc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dpm0016mllc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Dpm0016mllc. 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 Dpm0016mllc was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.