Fairlawn Podiatry Group PA
NPI 1710043740 · Podiatrist · Elmwood Park, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairlawn Podiatry Group PA is a Podiatrist organization in Elmwood Park, NJ (NPI 1710043740).
Provider details
- NPI number
- 1710043740
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Boris Raginsky, Co Owner(201) 797-3310
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
19 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
- 2006-12-27
- Last updated
- 2026-01-07
- Certified
- 2026-01-07
Frequently asked questions
- What is Fairlawn Podiatry Group PA's NPI number?
- Fairlawn Podiatry Group PA's National Provider Identifier (NPI) is 1710043740, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairlawn Podiatry Group PA?
- Fairlawn Podiatry Group PA is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Fairlawn Podiatry Group PA located?
- Fairlawn Podiatry Group PA's practice location on file with NPPES is 1 Broadway Ste 105, Elmwood Park, NJ 07407-1843.
- What is Fairlawn Podiatry Group PA's phone number?
- The practice phone number listed in the NPPES registry for Fairlawn Podiatry Group PA is (201) 797-3310.
- Does Fairlawn Podiatry Group PA accept Medicare?
- Fairlawn 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 Fairlawn Podiatry Group PA?
- The authorized official listed on Fairlawn Podiatry Group PA's NPPES record is Boris Raginsky, Co Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairlawn Podiatry Group PA's NPI active?
- Yes — Fairlawn Podiatry Group PA's NPI (1710043740) is active in the NPPES registry as of the last update on 2026-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.