# PREMIER PODIATRY, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417524224
- **Authorized official:** DR. VELIMIR R PETKOV DPM (PRESIDENT/ OWNER)
- **Authorized official phone:** (917) 667-4585

## Contact information

- **Practice address:** 502 HAMBURG TPKE STE 105, WAYNE, NJ 07470-8446
- **Practice address phone:** (973) 384-4444
- **Practice address fax:** (866) 756-0438
- **Mailing address:** 925 CLIFTON AVE STE 108, CLIFTON, NJ 07013-2724
- **Mailing address phone:** (973) 315-5555
- **Mailing address fax:** (866) 756-0438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2021
- **Last updated:** 01/29/2025