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

Reboot Podiatry LLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1265203004

Reboot Podiatry LLC is a Foot & Ankle Surgery Podiatrist in Cresskill, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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

72 Willis Ave
Cresskill, NJ 07626-2432
Phone: (201) 655-3565
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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
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1265203004
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alicia Kim — Owner · (201) 655-3565
NPI enumeratedJanuary 10, 2024
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024
Mailing address246b Livingston St Ste 133, Northvale, NJ 07647-1902