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 is a Podiatrist 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
Show map & directions

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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