Individual Healthcare Provider
John Egdorf
Provider's NPPES record last updated: August 5, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1013640648
- Primary Specialty
- Podiatrist — Foot & Ankle Surgery
- Practice Location
- Lyndhurst, New Jersey
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 9:00 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Podiatrist
Foot & Ankle Surgery
Podiatric Medicine & Surgery Service Providers
Definition to come...
Taxonomy code 213ES0103X
Provider-Reported License Information
- Podiatrist (New Jersey)
- 25MD00392900
Practice Locations
Practice Location
160 Ridge Rd
Lyndhurst, New Jersey 07071-1275
Phone: (201) 939-9098
Additional Practice Location
30 Prospect Ave
Hackensack, New Jersey 07601-1915
Phone: (551) 996-2000
Additional Practice Location
1 Clara Maass Dr
Belleville, New Jersey 07109-3550
Phone: (973) 450-2000
Additional Practice Location
350 Boulevard
Passaic, New Jersey 07055-2840
Phone: (973) 365-4300
Additional Practice Location
25 Pocono Rd
Denville, New Jersey 07834-2954
Phone: (973) 625-6000
Record Information
- Enumeration Date
- July 1, 2022
- Provider's NPPES Record Last Updated
- August 5, 2026
- Certification Date
- August 5, 2026
- Deactivation Date
- March 20, 2023
- Reactivation Date
- June 22, 2023
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue