MAGNOLIA PODIATRY LLC
NPI 1568120970
Podiatrist in Verona, NJ
About Magnolia Podiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAGNOLIA PODIATRY LLC (NPI 1568120970) is a healthcare organization registered as a podiatrist in Verona, New Jersey and active in the NPI registry since December 2021. The organization lists Jennie Chau, Sole Proprietor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Magnolia Podiatry Llc 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 Magnolia Podiatry LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Magnolia Podiatry LLC's NPI number?
The NPI number for Magnolia Podiatry LLC is 1568120970. It was assigned to this organization in the NPPES registry on December 2, 2021.
Where is Magnolia Podiatry LLC located?
Magnolia Podiatry LLC is located at 22 Hemlock Dr, Verona, NJ 07044. The listed phone number is (203) 507-3919.
What is Magnolia Podiatry LLC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is Magnolia Podiatry LLC enrolled in Medicare?
Yes. Magnolia Podiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Magnolia Podiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Magnolia Podiatry 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Magnolia Podiatry LLC was last updated on December 2, 2021. 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.
# Magnolia Podiatry Llc · NPI 1568120970
Podiatrist organization in Verona, New Jersey. Organization record, active in the CMS NPPES registry since December 2, 2021.
## Identity
- **NPI:** 1568120970 (Entity type: Organization)
- **Enumerated:** December 2, 2021
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** Jennie Chau, SOLE PROPRIETOR
## Practice location
- **Address:** 22 HEMLOCK DR, Verona, NJ 07044-1710
- **Phone:** (203) 507-3919
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1568120970) · Data from the CMS NPPES public registry.