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Podiatry Associates of Englewood Nj PC

NPI 1477744555ActiveOrganization· Podiatrist· Englewood, NJ

Podiatrist in Englewood, New Jersey, registered in NPPES in August 2007. The authorized official on file is Jill Hagen, DPM, President. Enrolled in Medicare as part b supplier - clinic/group practice and dme supplier - physician - podiatry.

Overview

NPI1477744555
StatusActive
Entity typeOrganization
NPI issuedAug 5, 2007
Last updated in NPPESJun 23, 2026
Certified by providerJun 23, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Podiatrist Primary213E00000XMD1961NJ
Podiatrist, Foot & Ankle Surgery213ES0103XMD1961NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (FL); DME Supplier - Physician - Podiatry (NJ); Part B Supplier - Clinic/Group Practice (NJ)

Medicare sources and data years

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