PODIATRY CENTER OF NEW JERSEY, LLC
NPI 1932586708
Clinic/Center - Podiatric in Wayne, NJ
About Podiatry Center Of New Jersey, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PODIATRY CENTER OF NEW JERSEY, LLC (NPI 1932586708) is a healthcare organization registered as a podiatric in Wayne, New Jersey and active in the NPI registry since April 2015. The organization maintains a secondary practice location in Passaic and lists Russell Samofal, Podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
Podiatry Center Of New Jersey, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Podiatry Center Of New Jersey, LLC, which bills Medicare for the services they deliver. Of these, 22 practice at this address. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 30Source: 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 Center Of New Jersey, LLC's NPI number?
The NPI number for Podiatry Center Of New Jersey, LLC is 1932586708. It was assigned to this organization in the NPPES registry on April 30, 2015.
Where is Podiatry Center Of New Jersey, LLC located?
Podiatry Center Of New Jersey, LLC is located at 510 Hamburg Tpke Ste 108, Wayne, NJ 07470. The listed phone number is (718) 431-4979.
What is Podiatry Center Of New Jersey, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.
Is Podiatry Center Of New Jersey, LLC enrolled in Medicare?
Yes. Podiatry Center Of New Jersey, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Podiatry Center Of New Jersey, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians, all in Podiatry, reassign their Medicare billing to Podiatry Center Of New Jersey, 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. Of these, 22 practice at this address. 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 Center Of New Jersey, LLC was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Podiatry Center Of New Jersey, Llc · NPI 1932586708
Podiatric organization in Wayne, New Jersey. Organization record, active in the CMS NPPES registry since April 30, 2015.
## Identity
- **NPI:** 1932586708 (Entity type: Organization)
- **Enumerated:** April 30, 2015
- **Primary specialty:** Clinic/Center - Podiatric · taxonomy 261QP1100X
- **Organization subpart:** No
- **Authorized official:** Russell Samofal, PODIATRIST
## Practice location
- **Address:** 510 HAMBURG TPKE STE 108, Wayne, NJ 07470
- **Phone:** (718) 431-4979
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 22 practice at this address; [full list](https://npiprofile.com/npi/1932586708/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 7, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1932586708) · Data from the CMS NPPES public registry.