Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairlawn Podiatry Group PA

Organization Podiatrist · NPI 1710043740

Fairlawn Podiatry Group PA provides Podiatrist services in Elmwood Park, New Jersey. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1 Broadway Ste 105
Elmwood Park, NJ 07407-1843
Phone: (201) 797-3310
Fax: (201) 797-1977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X

Record details

NPI number1710043740
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Boris Raginsky — Co Owner · (201) 797-3310
NPI enumeratedDecember 27, 2006
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026
Mailing address1 Broadway Ste 105, Elmwood Park, NJ 07407-1843

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