Organization
FAIRLAWN PODIATRY GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BORIS RAGINSKY DPM (CO OWNER)
(201) 797-3310
Entity
Organization
Contact information
Practice address
1 BROADWAY STE 105, ELMWOOD PARK, NJ 07407-1843
(201) 797-3310
(201) 797-1977
Mailing address
1 BROADWAY STE 105, ELMWOOD PARK, NJ 07407-1843
(201) 797-3310
(201) 797-1977
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6702805
—
NJ
05
—
8024901
—
NJ
Enumeration date
12/27/2006
Last updated
01/07/2026
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