DPM0016MLLC NPI 1437293958

NPI Information

  • NPI: 1437293958
  • Provider Name: DPM0016MLLC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • :
  • Address: 146 HILLCREST RD
    WATCHUNG, NJ
    ZIP 07069
  • Phone: (201) 662-1996

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NPI Details

DPM0016MLLC is a foot and ankle surgery podiatrist in Watchung, NJ. DPM0016MLLC NPI is 1437293958. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

146 HILLCREST RD
WATCHUNG, NJ
ZIP 07069-053
Phone: (201) 662-1996
Fax: (210) 662-1977

The provider's authorized official is Boris Raginsky .
The authorized official title is Owner and has the following contact phone number (201) 662-1996.

The enumeration date for this NPI number is 2/17/2007 and was last updated on 5/27/2025.

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 Surgery25MD00280800NEW JERSEYYes

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: 11/21/2025

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