1. Home
  2. Directory
  3. New Jersey
  4. Wayne
  5. Podiatrist
  6. NPI Profile

SARAH PARK DPM
NPI 1669167748
Podiatrist in Wayne, NJ

Active since April 05, 2023PECOS Enrolled
510 HAMBURG TPKE STE 108, WAYNE, NJ 07470(973) 925-4111 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sarah Park Dpm NPPES

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

SARAH PARK DPM (NPI 1669167748) is an individual podiatrist in Wayne, New Jersey, licensed in New Jersey (25MD00392200) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1669167748
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameSARAH PARKCredential: DPM
Location Address510 HAMBURG TPKE STE 108Wayne, NJ 07470-2033
Mailing Address510 Hamburg Tpke Ste 108Wayne, NJ 07470-2033 · (973) 925-4111
Phone(973) 925-4111
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2023
Enumeration DateApril 5, 2023
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1669167748 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 · 25MD00392200
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
510 HAMBURG TPKE STE 108, Wayne, NJ 07470
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sarah Park Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921562877
PECOS Enrollment IDI20260710003583
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sarah Park reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Podiatry Center Of New Jersey, LLC
Same address
Podiatric
510 HAMBURG TPKE STE 108
Wayne, NJ 07470
  • Reassigned Medicare billing, New Jersey enrollment
  • 30 clinicians in this Medicare group
NPI 1932586708 (718) 431-4979

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZAINAB ZAIDI DPM
Podiatrist
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
DR. GABRIELLE PATRICE HUTCHESON DPM
Podiatrist
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
JONATHAN EDELSTIEN DPM
Podiatrist
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
NICHOLAS DESAI CRIDER
Podiatrist
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
DR. EDUARDO GLASS DPM
Podiatrist
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
MICHAEL JOHN STAS DPM
Podiatrist (Foot & Ankle Surgery)
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
OLUFUNKE BURAIMOH DPM
Podiatrist
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111
ZAKIYYAH WATERS DPM
Podiatrist (Foot & Ankle Surgery)
510 HAMBURG TPKE STE 108
WAYNE, NJ 07470
Passaic County (973) 925-4111

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 Sarah Park's NPI number?

The NPI number for Sarah Park is 1669167748. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Sarah Park located?

Sarah Park practices at 510 Hamburg Tpke Ste 108, Wayne, NJ 07470. The listed phone number is (973) 925-4111.

What is Sarah Park's specialty?

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

Is Sarah Park enrolled in Medicare?

Yes. Sarah Park is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sarah Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sarah Park reassigns Medicare benefits to Podiatry Center Of New Jersey, LLC (Wayne, NJ). The 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 Sarah Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sarah Park was last updated on June 15, 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.