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

Active Podiatry LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1093217622

Active Podiatry LLC is a Foot & Ankle Surgery Podiatrist in Wayne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2035 Hamburg Tpke Ste B
Wayne, NJ 07470-6251
Phone: (201) 614-3668
Fax: (973) 256-4757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 25MD0032100 (NJ)

Record details

NPI number1093217622
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Homam Badri — Dpm · (201) 614-3668
Other names Active Podiatry Llc
NPI enumeratedFebruary 28, 2018
Last updated in NPPESSeptember 2, 2025
Certification dateJuly 11, 2025
Mailing address2035 Hamburg Tpke Ste B, Wayne, NJ 07470-6251

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