Reboot Podiatry Llc
Foot & Ankle Surgery
72 Willis Ave, Cresskill
New Jersey, 07626-2432
201-655-3565 Reboot Podiatry Llc is a Foot & Ankle Surgery in Cresskill, New Jersey. It is located at 72 Willis Ave, Cresskill and it's customer support contact number is 201-655-3565. The authorized person of Reboot Podiatry Llc is Alicia J Kim, DPM who is Owner of this DME and his contact number is 201-655-3565. Reboot Podiatry Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Reboot Podiatry Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Reboot Podiatry Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Reboot Podiatry Llc |
| Type: | Foot & Ankle Surgery |
| Location: | 72 Willis Ave, Cresskill,
New Jersey, 07626-2432 |
| Phone: | 201-655-3565 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Alicia J Kim |
| Credentials: | DPM |
| Position: | Owner |
| Contact Number: | 201-655-3565 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1265203004 |
| NPI Enumeration Date: | 10 Jan, 2024 |
| NPI Last Update On: | 10 Jan, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Reboot Podiatry Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Foot & Ankle Surgery | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Reboot Podiatry Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9931645918 | O20240725004634 | Reboot Podiatry Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 246b Livingston St Ste 133,
Northvale, New Jersey |
| Zip: | 07647-1902 |
| Phone Number: | 201-655-3565 |
Patients can reach Reboot Podiatry Llc at
72 Willis Ave, Cresskill, New Jersey or can
call on customer care at 201-655-3565.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.