DR. PHILIP JOSEPH OBIEDZINSKI DPM NPI 1003811019

NPI Information

  • NPI: 1003811019
  • Provider Name: DR. PHILIP JOSEPH OBIEDZINSKI, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 50 ORIENT WAY
    RUTHERFORD, NJ
    ZIP 07070
  • Phone: (201) 939-2774

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NPI Details

DR. Philip Joseph Obiedzinski, DPM is a foot and ankle surgery podiatrist in Rutherford, NJ with 45 years of experience. DR. Philip Joseph Obiedzinski, DPM NPI is 1003811019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1980

The provider's business location address is:

50 ORIENT WAY
RUTHERFORD, NJ
ZIP 07070-036
Phone: (201) 939-2774
Fax: (201) 935-6812

The NPI 1003811019 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Trimming of fingernails or toenails (HCPCS:11719)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Trimming of dystrophic nails, any number (HCPCS:G0127)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Application of ultrasound, each 15 minutes (HCPCS:97035)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection into tendon or ligament (HCPCS:20550)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)

The enumeration date for this NPI number is 6/16/2005 and was last updated on 3/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery25MD00126000NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1450468MEDICARE PINNEW JERSEY
2T45130MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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