OrganizationActive
Active Podiatry LLC
NPI 1093217622 · Foot & Ankle Surgery Podiatrist · Wayne, NJ
Provider details
- NPI number
- 1093217622
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Homam Badri, DPM(201) 614-3668
- License
- 25MD0032100 (NJ)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
2035 Hamburg Tpke Ste B
Wayne, NJ 07470-6251
Phone: (201) 614-3668
Fax: (973) 256-4757
Approximate (ZIP-level) locationGet directions
Mailing address
2035 Hamburg Tpke Ste B
Wayne, NJ 07470-6251
Other names (DBA / former)
- Doing business as
- Active Podiatry LLC
Registry dates
- Enumerated
- 2018-02-28
- Last updated
- 2025-09-02
- Certified
- 2025-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.