PODIATRY ASSOCIATES OF ENGLEWOOD NJ PC
NPI 1477744555
Podiatrist in Englewood, NJ

Q: What is Podiatry Associates Of Englewood Nj PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since August 05, 2007

363 GRAND AVE, ENGLEWOOD, NJ 07631(201) 568-6977(201) 568-7567 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Podiatry Associates Of Englewood Nj Pc NPPES

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

PODIATRY ASSOCIATES OF ENGLEWOOD NJ PC (NPI 1477744555) is a healthcare organization registered as a podiatrist in Englewood, New Jersey and active in the NPI registry since August 2007. The organization lists Jill Hagen, President, as its authorized official.

NPPES Registry Identity

NPI1477744555

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NamePODIATRY ASSOCIATES OF ENGLEWOOD NJ PC

Location Address363 GRAND AVEEnglewood, NJ 07631-4104

Mailing Address363 Grand AveEnglewood, NJ 07631-4104 · (201) 918-4000 · Fax (201) 568-7567

Phone(201) 568-6977

Fax(201) 568-7567

Organization SubpartNo

Authorized OfficialJill HagenPresident · (201) 918-4000

Enumeration DateAugust 5, 2007

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1477744555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in NJ · MD1961

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X · License MD1961 (NJ)

363 GRAND AVE, Englewood, NJ 07631

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Other Identifiers 7

Other0452298000NJ · Amerihealth

Other0063356NJ · Ghi Id#

Other0110120NJ · Aetna Id#

Other2139688NJ · Cigna Id#

OtherJ32278NJ · Healthnet Id#

Medicaid6198104NJ

OtherP1023259NJ · Oxford Id#

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 MULTIPLE 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)

Podiatry Associates Of Englewood Nj Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Podiatry Associates Of Englewood Nj PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jill Hagen, DPM

Podiatry

NPI 1720001167

363 GRAND AVE
Englewood, NJ 07631

(201) 568-6977

✔ PECOS✔ Accepts MedicareSame address

Lauren Grossman, DPM

Podiatry

NPI 1467757294

10 MCKINLEY ST STE 15
Closter, NJ 07624

(201) 979-3050

✔ PECOS✔ Accepts Medicare6.3 mi

Alicia Kim

Podiatry

NPI 1487210308

51 VERONICA AVE
Somerset, NJ 08873

(732) 846-7000

✔ PECOS✔ Accepts Medicare39 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 Podiatry Associates Of Englewood Nj PC's NPI number?

The NPI number for Podiatry Associates Of Englewood Nj PC is 1477744555. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Podiatry Associates Of Englewood Nj PC located?

Podiatry Associates Of Englewood Nj PC is located at 363 Grand Ave, Englewood, NJ 07631. The listed phone number is (201) 568-6977.

What is Podiatry Associates Of Englewood Nj PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Podiatry Associates Of Englewood Nj PC enrolled in Medicare?

Yes. Podiatry Associates Of Englewood Nj PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Podiatry Associates Of Englewood Nj PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Podiatry, reassign their Medicare billing to Podiatry Associates Of Englewood Nj PC. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Podiatry Associates Of Englewood Nj PC was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.