PODIATRY ON WHEELS PC
NPI 1639055155
Podiatrist in Saddle River, NJ

Active since August 12, 2025
1 MELODY LN UPPR, SADDLE RIVER, NJ 07458(732) 429-0177 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Podiatry On Wheels Pc NPPES

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

PODIATRY ON WHEELS PC (NPI 1639055155) is a healthcare organization registered as a podiatrist in Saddle River, New Jersey and active in the NPI registry since August 2025. The organization lists June Park, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639055155
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePODIATRY ON WHEELS PC
Location Address1 MELODY LN UPPRSaddle River, NJ 07458-1857
Mailing Address1 Melody Ln UpprSaddle River, NJ 07458-1857 · (732) 429-0177
Organization SubpartNo
Authorized OfficialJune ParkCeo · (732) 429-0177
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1639055155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
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.
1 MELODY LN UPPR, Saddle River, NJ 07458

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)

Podiatry On Wheels Pc 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 Podiatry On Wheels PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Podiatry
NPI 1417301219
1 MELODY LN UPPR
Saddle River, NJ 07458
(732) 429-0177
✔ 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 Podiatry On Wheels PC's NPI number?

The NPI number for Podiatry On Wheels PC is 1639055155. It was assigned to this organization in the NPPES registry on August 12, 2025.

Where is Podiatry On Wheels PC located?

Podiatry On Wheels PC is located at 1 Melody Ln Uppr, Saddle River, NJ 07458. The listed phone number is (732) 429-0177.

What is Podiatry On Wheels PC's specialty?

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

Is Podiatry On Wheels PC enrolled in Medicare?

Yes. Podiatry On Wheels PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Podiatry On Wheels PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Podiatry On Wheels 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. 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 On Wheels PC was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.