ACTIVE FOOT & ANKLE CARE, LLC
NPI 1538243076
Podiatrist - Foot & Ankle Surgery in Fair Lawn, NJ

Active since October 24, 2006
4-14 SADDLE RIVER RD, SUITE 101, FAIR LAWN, NJ 07410(201) 791-1881(201) 791-6177 Get Directions Write a Review

NPPES record last updated: October 28, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Active Foot & Ankle Care, Llc NPPES

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

ACTIVE FOOT & ANKLE CARE, LLC (NPI 1538243076) is a healthcare organization registered as a foot & ankle surgery in Fair Lawn, New Jersey and active in the NPI registry since October 2006. The organization lists Richard T. Braver, Owner, as its authorized official.

NPPES Registry Identity

NPI1538243076
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameACTIVE FOOT & ANKLE CARE, LLC
Location Address4-14 SADDLE RIVER RD, SUITE 101Fair Lawn, NJ 07410-5632
Mailing Address4-14 Saddle River Rd, Suite 101Fair Lawn, NJ 07410-5632 · (201) 791-1881 · Fax (201) 791-6177
Fax(201) 791-6177
Organization SubpartNo
Authorized OfficialRichard T. BraverOwner · (201) 791-1881
Enumeration DateOctober 24, 2006
Last NPPES UpdateOctober 28, 2013
✔ NPI 1538243076 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 · 25MD00166400
4-14 SADDLE RIVER RD, Fair Lawn, NJ 07410

Other Identifiers 2

Medicare PIN057470NJ
Medicare NSC0532820001NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Active Foot & Ankle Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20060106000499Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Active Foot & Ankle Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Podiatry
NPI 1396712162
4-14 SADDLE RIVER RD SUITE 101
Fair Lawn, NJ 07410
(201) 791-1881
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1316176068
159 MARLBORO RD
Glen Rock, NJ 07452
(201) 857-4467
✔ PECOS✔ Accepts Medicare2.3 mi
Podiatry
NPI 1003294950
379 MAIN AVE STE 3
Wallington, NJ 07057
(201) 655-6617
✔ PECOS✔ Accepts Medicare5.1 mi
Podiatry
NPI 1548213291
697 WEST END AVENUE 1C
New York, NY 10025
(212) 724-7050
✔ PECOS✔ Accepts Medicare12 mi
Podiatry
NPI 1396212247
2094 ALBANY POST RD
Montrose, NY 10548
(914) 737-4400
✔ PECOS✔ Accepts Medicare23 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 Active Foot & Ankle Care, LLC's NPI number?

The NPI number for Active Foot & Ankle Care, LLC is 1538243076. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Active Foot & Ankle Care, LLC located?

Active Foot & Ankle Care, LLC is located at 4-14 Saddle River Rd Suite 101, Fair Lawn, NJ 07410. The listed phone number is (201) 791-1881.

What is Active Foot & Ankle Care, LLC's specialty?

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

Is Active Foot & Ankle Care, LLC enrolled in Medicare?

Yes. Active Foot & Ankle Care, LLC is registered in the Medicare PECOS enrollment system.

When is Active Foot & Ankle Care, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Active Foot & Ankle Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Podiatry, reassign their Medicare billing to Active Foot & Ankle Care, LLC. 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 3 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 Active Foot & Ankle Care, LLC was last updated on October 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.