OrganizationActive
Podiatry Center of New Jersey, LLC
NPI 1932586708 · Podiatric Clinic/Center · Wayne, NJ
Provider details
- NPI number
- 1932586708
- Entity type
- Organization
- Primary specialty
- Podiatric Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Russell Samofal, Podiatrist(973) 925-4111
- License
- 25MD00323100 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
510 Hamburg Tpke Ste 108
Wayne, NJ 07470
Phone: (718) 431-4979
Approximate (ZIP-level) locationGet directions
Mailing address
510 Hamburg Tpke Ste 108
Wayne, NJ 07470-2033
Additional practice locations (1)
- 62 Central AvePassaic, NJ 07055-8412Phone: (973) 925-4111Fax: (973) 925-7711
Registry dates
- Enumerated
- 2015-04-30
- Last updated
- 2018-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.