Active NPIIndividual provider

Dr. Gavriil Khaimov, DPM

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

NPI Number1669483426
Practice location
185 Bridge Plz N, Suite #4, Fort Lee, NJ 07024-5907
Fax
—
Last updated
August 11, 2026

Gavriil Khaimov is a Podiatrist, Foot & Ankle Surgery based in Fort Lee, NJ. Gavriil Khaimov practices in Fort Lee, NJ and has the professional credentials of DPM. The NPI Number for Gavriil Khaimov is 1669483426 and holds a License No. N006045 (NY). The current practice location address for Gavriil Khaimov is 185 Bridge Plz N, Suite #4, Fort Lee, NJ 07024-5907 and can be reached out via phone at 201-363-9844.

Provider Profile Details

NPI Number
1669483426
Provider Name
Gavriil Khaimov
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
185 Bridge Plz N, Suite #4, Fort Lee, NJ 07024-5907
Phone Number
201-363-9844
Primary Taxonomy
Podiatrist, Foot & Ankle Surgery · 213ES0103X
Sole Proprietor
No
Provider Enumeration Date
August 10, 2006
Last Update Date
August 11, 2026
Certification Date
August 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 Bridge Plz N
Suite #4
Fort Lee, NJ 07024-5907
Zip
07024-5907
Phone Number
201-363-9844
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
6939 Yellowstone Blvd Ste 11
Forest Hills, NY 11375-3760
City
Forest Hills
State
NY
Zip
11375-3760
Phone Number
718-263-4013

License Information

License Number (1)
N006045
License State (1)
NY
Taxonomy (1)
Podiatrist, Foot & Ankle Surgery · 213ES0103X
License Number (2)
25MD00295000
License State (2)
NJ
Taxonomy (2)
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 Dr. Gavriil Khaimov, DPM?

The NPI number of Dr. Gavriil Khaimov, DPM is 1669483426. It was assigned on August 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gavriil Khaimov, DPM?

Dr. Gavriil Khaimov, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NY under license number N006045.

Where does Dr. Gavriil Khaimov, DPM practice?

The practice location is 185 Bridge Plz N, Suite #4, Fort Lee, NJ 07024-5907. The office can be reached at 201-363-9844 (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 1669483426 directly on the NPPES registry website.

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