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FAIRLAWN PODIATRY GROUP PA
NPI 1710043740
Podiatrist in Elmwood Park, NJ

Active since December 27, 2006
1 BROADWAY STE 105, ELMWOOD PARK, NJ 07407(201) 797-3310(201) 797-1977 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fairlawn Podiatry Group Pa NPPES

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

FAIRLAWN PODIATRY GROUP PA (NPI 1710043740) is a healthcare organization registered as a podiatrist in Elmwood Park, New Jersey and active in the NPI registry since December 2006. The organization lists Boris Raginsky, Co Owner, as its authorized official.

NPPES Registry Identity

NPI1710043740
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFAIRLAWN PODIATRY GROUP PA
Location Address1 BROADWAY STE 105Elmwood Park, NJ 07407-1843
Mailing Address1 Broadway Ste 105Elmwood Park, NJ 07407-1843 · (201) 797-3310 · Fax (201) 797-1977
Phone(201) 797-3310
Fax(201) 797-1977
Organization SubpartNo
Authorized OfficialBoris RaginskyCo Owner · (201) 797-3310
Enumeration DateDecember 27, 2006
Last NPPES UpdateJanuary 7, 2026
NPPES CertifiedJanuary 7, 2026
✔ NPI 1710043740 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 BROADWAY STE 105, Elmwood Park, NJ 07407
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Other Identifiers 2

Medicaid8024901NJ
Medicaid6702805NJ

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 Fairlawn Podiatry Group PA's NPI number?

The NPI number for Fairlawn Podiatry Group PA is 1710043740. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Fairlawn Podiatry Group PA located?

Fairlawn Podiatry Group PA is located at 1 Broadway Ste 105, Elmwood Park, NJ 07407. The listed phone number is (201) 797-3310.

What is Fairlawn Podiatry Group PA's specialty?

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

What insurance does Fairlawn Podiatry Group PA accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Fairlawn Podiatry Group PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairlawn Podiatry Group PA was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.