# DPM0016MLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** bergenline foot & ankle center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437293958
- **Authorized official:** DR. BORIS RAGINSKY DPM (OWNER)
- **Authorized official phone:** (201) 662-1996

## Contact information

- **Practice address:** 146 HILLCREST RD, WATCHUNG, NJ 07069-6053
- **Practice address phone:** (201) 662-1996
- **Practice address fax:** (210) 662-1977
- **Mailing address:** 146 HILLCREST RD, WATCHUNG, NJ 07069-6053
- **Mailing address phone:** (201) 662-1996
- **Mailing address fax:** (210) 662-1977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00280800 | NJ | Yes |

## Other

- **Enumeration date:** 02/17/2007
- **Last updated:** 05/27/2025