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

Roselle Podiatry Group, PA

Organization Foot Surgery Podiatrist · NPI 1003139031

Roselle Podiatry Group, PA is a Foot Surgery Podiatrist in Roselle, New Jersey. Licensed in New Jersey. Registered with an NPI since 2010.

Licensed in
NJ
In the registry since
2010
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

776 E 3rd Ave
Roselle, NJ 07203-1698
Phone: (908) 620-3200
Fax: (908) 620-1040
Show map & directions

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

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence MD002426 (NJ)

Record details

NPI number1003139031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yeon Shim — President · (908) 620-3200
NPI enumeratedMarch 4, 2010
Last updated in NPPESOctober 16, 2014
Mailing address776 E 3rd Ave, Roselle, NJ 07203-1698

Other providers in Roselle