Active NPIOrganization

Foot And Ankle Center Of Fort Lee, LLC

Podiatrist, Foot & Ankle Surgery in Fort Lee, New Jersey

NPI Number1043495641
Practice location
2225 Lemoine Ave Fl 1, Fort Lee, NJ 07024-6104
Fax
201-363-9662
Last updated
August 11, 2026

Foot And Ankle Center Of Fort Lee, LLC is a healthcare organization based in Fort Lee, NJ. Foot And Ankle Center Of Fort Lee, LLC practices in Fort Lee, NJ. The NPI Number for Foot And Ankle Center Of Fort Lee, LLC is 1043495641 and holds a License No. 25MD00295000 (NJ). The current practice location address for Foot And Ankle Center Of Fort Lee, LLC is 2225 Lemoine Ave Fl 1, Fort Lee, NJ 07024-6104 and can be reached out via phone at 201-363-9844 and via fax at 201-363-9662.

Provider Profile Details

NPI Number
1043495641
Provider Name
Foot And Ankle Center Of Fort Lee, LLC
Provider Entity Type
Organization
Address
2225 Lemoine Ave Fl 1, Fort Lee, NJ 07024-6104
Phone Number
201-363-9844
Fax Number
201-363-9662
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Organization Subpart
No
Authorized Official
Dr. Gavriil Khaimov, DPM · President · 201-363-9844
Provider Enumeration Date
January 2, 2008
Last Update Date
August 11, 2026
Certification Date
August 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2225 Lemoine Ave Fl 1
Fort Lee, NJ 07024-6104
Zip
07024-6104
Phone Number
201-363-9844
Fax Number
201-363-9662
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
2225 Lemoine Ave Ste 4
Fort Lee, NJ 07024-6104
City
Fort Lee
State
NJ
Zip
07024-6104
Phone Number
201-363-9844
Fax Number
201-363-9662

License Information

License Number
25MD00295000
License State
NJ
Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Foot And Ankle Center Of Fort Lee, LLC?

The NPI number of Foot And Ankle Center Of Fort Lee, LLC is 1043495641. It was assigned on January 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Foot And Ankle Center Of Fort Lee, LLC?

Foot And Ankle Center Of Fort Lee, LLC is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00295000.

Where does Foot And Ankle Center Of Fort Lee, LLC practice?

The practice location is 2225 Lemoine Ave Fl 1, Fort Lee, NJ 07024-6104. The office can be reached at 201-363-9844 (phone) or 201-363-9662 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043495641 directly on the NPPES registry website.

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