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

Premier Podiatry, LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1417524224

Premier Podiatry, LLC is a Foot & Ankle Surgery Podiatrist in Wayne, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

502 Hamburg Tpke Ste 105
Wayne, NJ 07470-8446
Phone: (973) 384-4444
Fax: (866) 756-0438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1417524224
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Velimir Petkov — President/ Owner · (917) 667-4585
NPI enumeratedJune 9, 2021
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025
Mailing address925 Clifton Ave Ste 108, Clifton, NJ 07013-2724

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