# ACTIVE PODIATRY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Active Podiatry LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093217622
- **Authorized official:** HOMAM BADRI DPM (DPM)
- **Authorized official phone:** (201) 614-3668

## Contact information

- **Practice address:** 2035 HAMBURG TPKE STE B, WAYNE, NJ 07470-6251
- **Practice address phone:** (201) 614-3668
- **Practice address fax:** (973) 256-4757
- **Mailing address:** 2035 HAMBURG TPKE STE B, WAYNE, NJ 07470-6251
- **Mailing address phone:** (201) 614-3668
- **Mailing address fax:** (973) 256-4757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD0032100 | NJ | Yes |

## Other

- **Enumeration date:** 02/28/2018
- **Last updated:** 09/02/2025