JERSEY FOOT AND ANKLE CLINIC, LLC
NPI 1982993119
Podiatrist - Foot & Ankle Surgery in Paterson, NJ
About Jersey Foot And Ankle Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERSEY FOOT AND ANKLE CLINIC, LLC (NPI 1982993119) is a healthcare organization registered as a foot & ankle surgery in Paterson, New Jersey and active in the NPI registry since March 2011. The organization lists Henrietta I Obidigbo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jersey Foot And Ankle Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PATERSON, NJ 07505
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 Jersey Foot And Ankle Clinic, LLC's NPI number?
The NPI number for Jersey Foot And Ankle Clinic, LLC is 1982993119. It was assigned to this organization in the NPPES registry on March 28, 2011.
Where is Jersey Foot And Ankle Clinic, LLC located?
Jersey Foot And Ankle Clinic, LLC is located at 152 Market St Suite 314, Paterson, NJ 07505. The listed phone number is (973) 278-4200.
What is Jersey Foot And Ankle Clinic, LLC's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Jersey Foot And Ankle Clinic, LLC enrolled in Medicare?
Yes. Jersey Foot And Ankle Clinic, LLC is registered in the Medicare PECOS enrollment system.
When is Jersey Foot And Ankle Clinic, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New Jersey, Physician - Podiatry) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Jersey Foot And Ankle Clinic, LLC was last updated on January 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jersey Foot And Ankle Clinic, Llc · NPI 1982993119
Foot & Ankle Surgery organization in Paterson, New Jersey. Organization record, active in the CMS NPPES registry since March 28, 2011.
## Identity
- **NPI:** 1982993119 (Entity type: Organization)
- **Enumerated:** March 28, 2011
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Henrietta Obidigbo, OWNER
## Practice location
- **Address:** 152 MARKET ST, SUITE 314, Paterson, NJ 07505-1724
- **Phone:** (973) 278-4200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, New Jersey, Physician - Podiatry) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2012
---
Source: [NPI Profile](https://npiprofile.com/npi/1982993119) · Data from the CMS NPPES public registry.