Roselle Podiatry Group, PA
NPI 1003139031 · Foot Surgery Podiatrist · Roselle, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roselle Podiatry Group, PA is a Foot Surgery Podiatrist organization in Roselle, NJ (NPI 1003139031).
Provider details
- NPI number
- 1003139031
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Yeon Shim, President(908) 620-3200
- License
- MD002426 (NJ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-03-04
- Last updated
- 2014-10-16
Frequently asked questions
- What is Roselle Podiatry Group, PA's NPI number?
- Roselle Podiatry Group, PA's National Provider Identifier (NPI) is 1003139031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roselle Podiatry Group, PA?
- Roselle Podiatry Group, PA is classified in the NPPES registry as Foot Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Roselle Podiatry Group, PA located?
- Roselle Podiatry Group, PA's practice location on file with NPPES is 776 E 3rd Ave, Roselle, NJ 07203-1698.
- What is Roselle Podiatry Group, PA's phone number?
- The practice phone number listed in the NPPES registry for Roselle Podiatry Group, PA is (908) 620-3200.
- Does Roselle Podiatry Group, PA accept Medicare?
- Roselle Podiatry Group, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Roselle Podiatry Group, PA?
- The authorized official listed on Roselle Podiatry Group, PA's NPPES record is Yeon Shim, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roselle Podiatry Group, PA's NPI active?
- Yes — Roselle Podiatry Group, PA's NPI (1003139031) is active in the NPPES registry as of the last update on 2014-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.