Active NPIIndividual provider

Dr. Djavlon A Khakimov, DPM

Podiatrist, Foot & Ankle Surgery in Secaucus, New Jersey

NPI Number1285139261
Practice location
255 Route 3 Ste 107, Secaucus, NJ 07094-3857
Fax
—
Last updated
February 18, 2026

Djavlon A Khakimov is a Podiatrist, Foot & Ankle Surgery based in Secaucus, NJ. Djavlon A Khakimov practices in Secaucus, NJ and has the professional credentials of DPM. The NPI Number for Djavlon A Khakimov is 1285139261 and holds a License No. 25MD00360400 (NJ). The current practice location address for Djavlon A Khakimov is 255 Route 3 Ste 107, Secaucus, NJ 07094-3857 and can be reached out via phone at 551-236-5550.

Provider Profile Details

NPI Number
1285139261
Provider Name
Djavlon A Khakimov
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
255 Route 3 Ste 107, Secaucus, NJ 07094-3857
Phone Number
551-236-5550
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
March 29, 2018
Last Update Date
February 18, 2026
Certification Date
February 18, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Route 3 Ste 107
Secaucus, NJ 07094-3857
Zip
07094-3857
Phone Number
551-236-5550
Secaucus, NJ 07094Get directions →

Provider Business Mailing Address Details

Address
3 University Plz Ste 205
Hackensack, NJ 07601-6208
City
Hackensack
State
NJ
Zip
07601-6208
Phone Number
201-833-3599
Fax Number
201-227-6207

License Information

License Number
25MD00360400
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.

Other Podiatrist, Foot & Ankle Surgery providers near Secaucus, NJ

View all Podiatrist, Foot & Ankle Surgery providers in Secaucus →

Frequently Asked Questions

What is the NPI number of Dr. Djavlon A Khakimov, DPM?

The NPI number of Dr. Djavlon A Khakimov, DPM is 1285139261. It was assigned on March 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Djavlon A Khakimov, DPM?

Dr. Djavlon A Khakimov, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00360400.

Where does Dr. Djavlon A Khakimov, DPM practice?

The practice location is 255 Route 3 Ste 107, Secaucus, NJ 07094-3857. The office can be reached at 551-236-5550 (phone).

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 1285139261 directly on the NPPES registry website.

Browse related providers