PHILIP J CYNAMON (DPM) – Podiatrist, NPI 1669053294

PHILIP J CYNAMON (DPM) is a healthcare provider. based in Wayne, New Jersey. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 25MD00380000 (NJ). The NPI Number for PHILIP J CYNAMON (DPM) is 1669053294

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP J CYNAMON (DPM)
NPI
1669053294
Phone
(973) 925-4111
Address
510 HAMBURG TPKE STE 108
Enumeration Date
15 April 2021
Last Update Date
19 April 2024

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
7184314979
Graduation Year
2021 (5 years ago)
PAC ID
4385085331
Group Practice PAC ID
7719293745
Professional Enrollment ID
I20240508003462
Address ID
NJ074702033WA510XXTPKE305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,074 PODIATRY in NJ

Provider Addresses for PHILIP J CYNAMON (DPM)

  • 510 HAMBURG TPKE STE 108

    WAYNE, NJ 074702033

    Phone: (973) 925-4111

    Fax: (973) 925-7711

    Type: Mailing

  • 450 CLARKSON AVE

    BROOKLYN, NY 112032012

    Phone: (718) 270-1000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240508003462IPodiatryNJTBD
I20250401000665IPodiatryNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07470)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719293745View full group profile
NameSpecialtyState
P O D I A T R YNJ
P O D I A T R YNY
P O D I A T R YNY
P O D I A T R YNJ
P O D I A T R YNJ
P O D I A T R YNY
P O D I A T R YNY
P O D I A T R YNJ
P O D I A T R YNJ
P O D I A T R YNJ

Reviews

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Frequently asked questions

Can I use this page to confirm PHILIP J CYNAMON (DPM)'s NPI?
Yes. PHILIP J CYNAMON (DPM) is listed with NPI 1669053294 in the public NPI dataset.
Can I rely on PHILIP J CYNAMON (DPM) being an active provider?
As of the registry snapshot, PHILIP J CYNAMON (DPM) is marked active.
What is PHILIP J CYNAMON (DPM)'s primary classification?
Podiatrist is the headline specialty for PHILIP J CYNAMON (DPM) here. Clinical services aligned with this taxonomy classification.
Where should I expect PHILIP J CYNAMON (DPM) on a map?
Expect Wayne, New Jersey as a primary anchor for PHILIP J CYNAMON (DPM) unless the record lists multiple sites.
Why does PHILIP J CYNAMON (DPM) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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