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

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: October 18, 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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fairlawn Podiatry Group Pa 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 Fairlawn Podiatry Group PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Boris Raginsky, DPM
Podiatry
NPI 1457352502
620 CRANBURY RD STE. 106
East Brunswick, NJ 08816
(732) 698-2444
✔ PECOS✔ Accepts Medicare39 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 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.

Is Fairlawn Podiatry Group PA enrolled in Medicare?

Yes. Fairlawn Podiatry Group PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairlawn Podiatry Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Fairlawn Podiatry Group PA. 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 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 9 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.