Fairlawn Podiatry Group Pa in Elmwood Park, NJ - Medicare Podiatrist Provider

Fairlawn Podiatry Group Pa is a medicare enrolled "Podiatrist" provider in Elmwood Park, New Jersey. Their current practice location is 1 Broadway Ste 105, Elmwood Park, New Jersey. You can reach out to their office (for appointments etc.) via phone at (201) 797-3310.

Fairlawn Podiatry Group Pa is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Fairlawn Podiatry Group Pa is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1710043740.

Contact Information

	Fairlawn Podiatry Group Pa
	1 Broadway Ste 105, Elmwood Park, NJ 07407-1843
	(201) 797-3310
	(201) 797-1977

Map and Direction

Healthcare Provider's Profile

Full Name	Fairlawn Podiatry Group Pa
Type	Facility
Speciality	Podiatrist
Location	1 Broadway Ste 105, Elmwood Park, New Jersey
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710043740
Provider Enumeration Date: 12/27/2006
Last Update Date: 01/07/2026

Medicare PECOS Information:

PECOS PAC ID: 8527056126
Enrollment ID: O20040503001481

Medical Identifiers

Medical identifiers for Fairlawn Podiatry Group Pa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710043740	NPI	-	NPPES
8024901	Medicaid	NJ
6702805	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fairlawn Podiatry Group Pa acts as a billing entity for following providers:

Provider Name	Boris Raginsky
Provider Type	Practitioner - Podiatry
Provider Identifiers	NPI Number: 1457352502 PECOS PAC ID: 5092703603 Enrollment ID: I20050103000188

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fairlawn Podiatry Group Pa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Fairlawn Podiatry Group Pa 1 Broadway Ste 105, Elmwood Park, NJ 07407-1843 Ph: (201) 797-3310	Fairlawn Podiatry Group Pa 1 Broadway Ste 105, Elmwood Park, NJ 07407-1843 Ph: (201) 797-3310

Reviews and Comments

Podiatrist in Elmwood Park, NJ

Bergen Family Foot Care, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 67 Broadway, Elmwood Park, NJ 07407 Phone: 201-794-3223 Fax: 201-794-8411
Broadway Foot And Ankle Ctr Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 67 Broadway, Elmwood Park, NJ 07407 Phone: 201-794-3223 Fax: 201-794-8411
Pasko L Gazivoda, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 67 Broadway, Elmwood Park, NJ 07407 Phone: 201-794-3223 Fax: 201-794-8411
Dr. Dixit Dinesh Patel, D.P.M Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 67 Broadway, Elmwood Park, NJ 07407 Phone: 201-794-3223
Dr. Stephan Borbely, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 241 Molnar Drive Suite 203, Elmwood Park, NJ 07407 Phone: 201-703-3330 Fax: 201-703-3332
Jessica Singh, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 67 Broadway, Elmwood Park, NJ 07407 Phone: 201-794-3223

Fairlawn Podiatry Group Pa - Medicare Podiatrist in Elmwood Park, NJ